| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,829 |
4,980 |
$87K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,136 |
940 |
$60K |
| 99152 |
|
4,160 |
2,842 |
$58K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,955 |
923 |
$47K |
| 64483 |
|
487 |
402 |
$39K |
| 64493 |
|
740 |
473 |
$34K |
| 86328 |
|
2,458 |
1,382 |
$31K |
| 97124 |
|
2,254 |
695 |
$27K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,375 |
1,013 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
452 |
402 |
$19K |
| 64484 |
|
624 |
388 |
$17K |
| 97162 |
|
204 |
192 |
$16K |
| 64494 |
|
684 |
439 |
$15K |
| 64635 |
|
184 |
135 |
$13K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
660 |
565 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,427 |
1,116 |
$10K |
| 76942 |
|
433 |
293 |
$8K |
| 64636 |
|
333 |
135 |
$8K |
| 77002 |
|
139 |
102 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
213 |
$6K |
| 20611 |
|
148 |
87 |
$6K |
| 64490 |
|
46 |
27 |
$5K |
| 20610 |
|
267 |
167 |
$4K |
| 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 |
14 |
12 |
$3K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
46 |
42 |
$3K |
| 64491 |
|
46 |
27 |
$3K |
| 72100 |
|
139 |
135 |
$3K |
| 64495 |
|
115 |
79 |
$2K |
| 72275 |
|
34 |
27 |
$1K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,536 |
1,140 |
$1K |
| 97164 |
|
14 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
200 |
147 |
$717.34 |
| 27096 |
|
16 |
12 |
$609.45 |
| 72040 |
|
30 |
28 |
$486.16 |
| 73560 |
|
20 |
12 |
$374.40 |
| 64450 |
|
16 |
14 |
$302.07 |
| 64418 |
|
16 |
13 |
$274.98 |
| 97032 |
|
29 |
12 |
$255.99 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$214.38 |
| 73580 |
|
74 |
37 |
$176.96 |
| 87301 |
|
43 |
35 |
$122.53 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
260 |
96 |
$60.76 |
| Q3014 |
Telehealth originating site facility fee |
25 |
24 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$0.00 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
18 |
14 |
$0.00 |