| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,147 |
19,436 |
$1.65M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
6,141 |
6,119 |
$1.09M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,163 |
6,125 |
$714K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,942 |
4,842 |
$600K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,081 |
1,055 |
$297K |
| 20610 |
|
5,055 |
3,125 |
$233K |
| 20611 |
|
3,200 |
1,617 |
$232K |
| 73630 |
|
4,089 |
3,568 |
$153K |
| 73130 |
|
3,031 |
2,576 |
$119K |
| 73565 |
|
3,409 |
3,378 |
$113K |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
506 |
179 |
$111K |
| 73560 |
|
4,018 |
3,076 |
$111K |
| 73610 |
|
2,486 |
2,272 |
$101K |
| 73100 |
|
2,551 |
2,181 |
$95K |
| 72110 |
|
1,586 |
1,580 |
$83K |
| 72100 |
|
1,987 |
1,958 |
$80K |
| J7320 |
Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg |
269 |
69 |
$76K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
883 |
310 |
$51K |
| 97139 |
|
2,164 |
499 |
$44K |
| 73140 |
|
914 |
844 |
$38K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
161 |
155 |
$34K |
| 99205 |
Prolong outpt/office vis |
134 |
134 |
$29K |
| 72040 |
|
641 |
630 |
$26K |
| 73110 |
|
564 |
449 |
$23K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
70 |
69 |
$21K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,486 |
2,741 |
$19K |
| 73562 |
|
483 |
390 |
$19K |
| 20550 |
|
269 |
265 |
$16K |
| 99215 |
Prolong outpt/office vis |
85 |
83 |
$15K |
| 72050 |
|
267 |
267 |
$15K |
| 64721 |
|
27 |
27 |
$12K |
| 73502 |
|
223 |
214 |
$9K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
157 |
137 |
$9K |
| L1904 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, custom fabricated |
12 |
12 |
$6K |
| 97116 |
|
198 |
193 |
$3K |
| 26055 |
|
12 |
12 |
$3K |
| 73080 |
|
82 |
78 |
$3K |
| 72170 |
|
65 |
65 |
$2K |
| 64450 |
|
65 |
64 |
$2K |
| 20553 |
|
27 |
27 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
232 |
228 |
$2K |
| 73120 |
|
34 |
33 |
$1K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
111 |
39 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
227 |
150 |
$726.51 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
3,277 |
2,527 |
$159.95 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
25 |
25 |
$82.98 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
67 |
52 |
$46.18 |