| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342,937 |
317,613 |
$35.23M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16,337 |
16,230 |
$2.29M |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
37,423 |
29,272 |
$1.33M |
| 99490 |
Ccm add 20min |
23,022 |
23,020 |
$1.25M |
| 96136 |
|
30,999 |
30,195 |
$1.08M |
| 80305 |
|
82,646 |
79,859 |
$862K |
| 99487 |
Ccm add 20min |
7,193 |
7,192 |
$846K |
| 90791 |
Psychiatric diagnostic evaluation |
5,940 |
5,881 |
$846K |
| L0648 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf |
1,582 |
1,580 |
$691K |
| 96130 |
|
5,327 |
5,259 |
$559K |
| 62323 |
|
2,777 |
2,741 |
$490K |
| 98942 |
|
9,526 |
6,808 |
$449K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
20,467 |
19,993 |
$438K |
| 90832 |
Psychotherapy, 30 minutes with patient |
6,781 |
6,654 |
$412K |
| 99439 |
|
8,043 |
8,043 |
$338K |
| 98940 |
|
13,128 |
11,599 |
$326K |
| 96131 |
|
1,578 |
1,524 |
$252K |
| L0631 |
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
202 |
201 |
$173K |
| 97802 |
|
3,687 |
3,686 |
$151K |
| G9012 |
Other specified case management service not elsewhere classified |
84,930 |
31,701 |
$111K |
| 99489 |
Ccm add 20min |
1,081 |
1,081 |
$98K |
| 64493 |
|
565 |
522 |
$90K |
| 20611 |
|
1,039 |
694 |
$83K |
| 97804 |
|
5,360 |
5,221 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
956 |
908 |
$71K |
| 62321 |
|
466 |
462 |
$69K |
| 64483 |
|
269 |
253 |
$50K |
| 64494 |
|
576 |
515 |
$46K |
| 63650 |
|
58 |
57 |
$46K |
| 99426 |
|
3,422 |
3,421 |
$44K |
| 97803 |
|
1,383 |
1,368 |
$44K |
| 96101 |
|
176 |
174 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
931 |
912 |
$38K |
| 64495 |
|
391 |
368 |
$31K |
| L1851 |
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
39 |
37 |
$28K |
| 99205 |
Prolong outpt/office vis |
115 |
115 |
$26K |
| 99427 |
|
1,473 |
1,473 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
247 |
244 |
$16K |
| 76942 |
|
324 |
305 |
$16K |
| 96127 |
|
1,739 |
1,731 |
$13K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,976 |
1,894 |
$12K |
| 64635 |
|
66 |
58 |
$11K |
| 20553 |
|
198 |
196 |
$10K |
| 27096 |
|
62 |
57 |
$7K |
| 99215 |
Prolong outpt/office vis |
38 |
38 |
$7K |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
954 |
910 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
91 |
$6K |
| 90785 |
|
612 |
606 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
46 |
46 |
$4K |
| 77002 |
|
48 |
33 |
$4K |
| 64636 |
|
67 |
58 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
254 |
251 |
$3K |
| 20610 |
|
38 |
31 |
$2K |
| 64484 |
|
19 |
12 |
$2K |
| G9008 |
Coordinated care fee, physician coordinated care oversight services |
20,723 |
19,234 |
$820.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
687 |
646 |
$751.14 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
356 |
349 |
$663.30 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$368.98 |