| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L0650 |
Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
505 |
433 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,492 |
4,989 |
$192K |
| 99215 |
Prolong outpt/office vis |
1,538 |
1,193 |
$69K |
| 64493 |
|
535 |
303 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,671 |
1,250 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
499 |
400 |
$25K |
| 80305 |
|
6,185 |
4,438 |
$21K |
| 64635 |
|
91 |
58 |
$18K |
| 64494 |
|
528 |
296 |
$17K |
| 64636 |
|
116 |
58 |
$9K |
| 81025 |
|
2,141 |
1,543 |
$6K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
845 |
613 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,548 |
1,087 |
$6K |
| 99205 |
Prolong outpt/office vis |
69 |
59 |
$5K |
| 96127 |
|
1,108 |
923 |
$2K |
| 20610 |
|
47 |
42 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$2K |
| 99442 |
|
90 |
74 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
664 |
520 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
152 |
106 |
$997.28 |
| 77002 |
|
35 |
26 |
$988.66 |
| 99223 |
Prolong inpt eval add15 m |
20 |
15 |
$815.07 |
| 64495 |
|
18 |
12 |
$545.09 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
961 |
672 |
$542.16 |
| 99441 |
|
15 |
14 |
$217.00 |
| 82962 |
|
123 |
81 |
$140.02 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
14 |
$137.42 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
42 |
$43.01 |
| G9500 |
Radiation exposure indices documented in final report for procedure using fluoroscopy |
996 |
604 |
$0.00 |