| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12,876 |
11,942 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,069 |
16,635 |
$1000K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
21,833 |
12,155 |
$766K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,607 |
3,252 |
$260K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,420 |
1,280 |
$159K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,414 |
2,961 |
$115K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
564 |
531 |
$106K |
| 20610 |
|
2,503 |
1,953 |
$87K |
| 73630 |
|
3,040 |
2,477 |
$62K |
| 73610 |
|
2,058 |
1,736 |
$45K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,747 |
1,023 |
$32K |
| 73100 |
|
1,223 |
968 |
$30K |
| 73030 |
|
1,479 |
1,223 |
$30K |
| 73562 |
|
899 |
711 |
$29K |
| 29848 |
|
69 |
64 |
$26K |
| 73140 |
|
1,043 |
839 |
$24K |
| 73564 |
|
885 |
636 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
363 |
317 |
$18K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,849 |
1,701 |
$11K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,547 |
1,190 |
$10K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
339 |
209 |
$9K |
| 97597 |
|
163 |
94 |
$9K |
| 29075 |
|
162 |
141 |
$9K |
| 97165 |
|
176 |
152 |
$9K |
| 20611 |
|
112 |
106 |
$7K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
76 |
68 |
$6K |
| 73502 |
|
280 |
227 |
$6K |
| 29085 |
|
76 |
64 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
493 |
417 |
$4K |
| 73110 |
|
153 |
132 |
$4K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
88 |
80 |
$4K |
| 76882 |
|
87 |
66 |
$4K |
| 97161 |
|
38 |
37 |
$3K |
| 20550 |
|
147 |
115 |
$3K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
13 |
12 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
345 |
290 |
$1K |
| 73560 |
|
43 |
41 |
$1K |
| 73221 |
|
12 |
12 |
$1K |
| 73130 |
|
54 |
38 |
$1K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
39 |
27 |
$848.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
25 |
$789.02 |
| 73590 |
|
17 |
13 |
$545.65 |
| 73070 |
|
17 |
12 |
$412.03 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
891 |
710 |
$206.79 |
| Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
13 |
12 |
$182.13 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
13 |
12 |
$145.79 |
| J3490 |
Unclassified drugs |
76 |
70 |
$56.36 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
41 |
36 |
$51.60 |
| A4216 |
Sterile water, saline and/or dextrose, diluent/flush, 10 ml |
14 |
13 |
$0.00 |