| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,998 |
15,202 |
$1.55M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,879 |
7,158 |
$1.07M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,299 |
1,193 |
$288K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
704 |
682 |
$210K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
548 |
479 |
$48K |
| 20610 |
|
595 |
316 |
$41K |
| 95886 |
|
167 |
153 |
$28K |
| 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 |
57 |
56 |
$18K |
| 98927 |
|
243 |
208 |
$17K |
| 99484 |
|
3,735 |
3,273 |
$11K |
| 98926 |
|
200 |
168 |
$10K |
| 72100 |
|
216 |
193 |
$9K |
| 73630 |
|
214 |
150 |
$8K |
| 64483 |
|
43 |
38 |
$7K |
| 73564 |
|
185 |
118 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
54 |
47 |
$5K |
| 73610 |
|
97 |
81 |
$4K |
| 95911 |
|
12 |
12 |
$4K |
| 95910 |
|
12 |
12 |
$3K |
| 20611 |
|
30 |
24 |
$2K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
854 |
810 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
1,024 |
967 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
314 |
128 |
$949.28 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
36 |
$876.42 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
19 |
19 |
$701.25 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
40 |
12 |
$544.95 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
264 |
236 |
$477.43 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
45 |
34 |
$461.02 |
| 73030 |
|
24 |
12 |
$424.83 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
185 |
153 |
$258.12 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
521 |
248 |
$249.74 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
56 |
38 |
$7.04 |
| J3490 |
Unclassified drugs |
292 |
226 |
$0.00 |
| 98980 |
|
54 |
42 |
$0.00 |
| 98981 |
|
14 |
14 |
$0.00 |