| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,833 |
24,712 |
$2.76M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,216 |
25,760 |
$1.81M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
9,767 |
9,191 |
$1.46M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
11,544 |
10,410 |
$997K |
| 20610 |
|
13,670 |
10,449 |
$564K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
7,117 |
2,038 |
$280K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
1,482 |
1,366 |
$247K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,109 |
999 |
$231K |
| 99205 |
Prolong outpt/office vis |
1,023 |
963 |
$213K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12,388 |
11,147 |
$166K |
| 73565 |
|
3,594 |
3,348 |
$122K |
| 73560 |
|
5,201 |
3,717 |
$112K |
| 73630 |
|
4,311 |
3,200 |
$100K |
| 73610 |
|
3,686 |
2,896 |
$89K |
| 73130 |
|
3,176 |
2,561 |
$82K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
716 |
671 |
$78K |
| 73110 |
|
2,226 |
1,862 |
$68K |
| 72100 |
|
2,247 |
2,048 |
$64K |
| 95913 |
|
232 |
202 |
$56K |
| 73030 |
|
1,618 |
1,392 |
$44K |
| 20550 |
|
832 |
690 |
$42K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
843 |
774 |
$41K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
1,786 |
524 |
$40K |
| 99215 |
Prolong outpt/office vis |
259 |
234 |
$39K |
| 95886 |
|
249 |
213 |
$34K |
| 97161 |
|
395 |
360 |
$25K |
| 25600 |
|
65 |
60 |
$19K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
105 |
80 |
$15K |
| 72040 |
|
490 |
436 |
$14K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
158 |
155 |
$12K |
| G0127 |
Trimming of dystrophic nails, any number |
548 |
507 |
$12K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
56 |
54 |
$10K |
| 97014 |
|
721 |
211 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
185 |
92 |
$8K |
| 73562 |
|
301 |
207 |
$7K |
| 29075 |
|
102 |
77 |
$7K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
12 |
12 |
$7K |
| 73080 |
|
193 |
178 |
$6K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
451 |
381 |
$6K |
| 62323 |
|
28 |
27 |
$5K |
| 73140 |
|
156 |
138 |
$5K |
| L3916 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated, off-the-shelf |
25 |
25 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
239 |
179 |
$4K |
| 64483 |
|
36 |
30 |
$4K |
| 26600 |
|
13 |
13 |
$4K |
| 73502 |
|
103 |
89 |
$4K |
| 97162 |
|
54 |
50 |
$4K |
| L3915 |
Wrist hand orthosis, includes one or more nontorsion joint(s), elastic bands, turnbuckles, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
12 |
$3K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
12 |
12 |
$3K |
| 72110 |
|
60 |
60 |
$3K |
| 80305 |
|
554 |
404 |
$3K |
| 97010 |
|
645 |
221 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
37 |
36 |
$2K |
| J7332 |
Hyaluronan or derivative, triluron, for intra-articular injection, 1 mg |
25 |
12 |
$2K |
| E0730 |
Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation |
28 |
28 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
119 |
42 |
$2K |
| 11719 |
|
92 |
92 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
67 |
67 |
$2K |
| 20553 |
|
48 |
39 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
27 |
$1K |
| 73100 |
|
46 |
41 |
$1K |
| 29515 |
|
17 |
12 |
$1K |
| A6212 |
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
12 |
12 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$882.36 |
| 64484 |
|
15 |
12 |
$678.99 |
| 97164 |
|
13 |
12 |
$653.18 |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
118 |
88 |
$559.52 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
84 |
63 |
$526.94 |
| 11720 |
|
479 |
442 |
$504.06 |
| 99409 |
|
16 |
13 |
$267.16 |
| 99222 |
Initial hospital care, per day, moderate complexity |
13 |
12 |
$222.61 |
| 11721 |
|
13 |
13 |
$187.98 |
| 98927 |
|
19 |
12 |
$186.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
19 |
15 |
$8.23 |
| 99024 |
|
13 |
13 |
$0.00 |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
73 |
39 |
$-4119.02 |