| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Y7506 |
|
1,589 |
1,109 |
$5.13M |
| X4006 |
|
950 |
753 |
$5.07M |
| X4003 |
|
2,981 |
2,121 |
$2.49M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,588 |
1,169 |
$79K |
| J3490 |
Unclassified drugs |
617 |
242 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
429 |
363 |
$13K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
87 |
74 |
$11K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
449 |
414 |
$6K |
| 72114 |
|
107 |
102 |
$5K |
| 43775 |
|
19 |
18 |
$1K |
| 62323 |
|
59 |
53 |
$988.17 |
| 72170 |
|
31 |
29 |
$765.24 |
| 73562 |
|
17 |
15 |
$426.58 |
| 64493 |
|
44 |
42 |
$225.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
840 |
589 |
$22.51 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
85 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
40 |
26 |
$0.00 |
| 64494 |
|
15 |
14 |
$0.00 |
| 93000 |
|
28 |
28 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
83 |
47 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
27 |
12 |
$0.00 |
| 43235 |
|
45 |
42 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
116 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
24 |
$0.00 |