| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,815 |
9,108 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,864 |
5,612 |
$498K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,822 |
2,788 |
$399K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
2,067 |
2,044 |
$340K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,881 |
2,853 |
$254K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
806 |
783 |
$161K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
3,906 |
1,148 |
$157K |
| 20610 |
|
1,996 |
1,874 |
$86K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
2,023 |
866 |
$74K |
| 72141 |
|
455 |
450 |
$73K |
| 72100 |
|
2,741 |
2,694 |
$72K |
| 73221 |
|
300 |
290 |
$55K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,385 |
596 |
$37K |
| 73630 |
|
1,025 |
870 |
$31K |
| 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 |
37 |
37 |
$27K |
| 73562 |
|
981 |
865 |
$26K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
103 |
102 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
634 |
595 |
$20K |
| 64483 |
|
135 |
135 |
$20K |
| S9999 |
Sales tax |
1,449 |
1,268 |
$19K |
| 73610 |
|
258 |
231 |
$9K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
229 |
105 |
$8K |
| 72110 |
|
135 |
132 |
$6K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
954 |
916 |
$5K |
| 97162 |
|
48 |
48 |
$4K |
| 73600 |
|
220 |
176 |
$4K |
| 95911 |
|
18 |
18 |
$3K |
| 73030 |
|
135 |
129 |
$3K |
| 73110 |
|
65 |
59 |
$2K |
| 95886 |
|
18 |
18 |
$2K |
| 29425 |
|
40 |
37 |
$2K |
| 97164 |
|
63 |
52 |
$2K |
| 93922 |
|
33 |
31 |
$2K |
| A4590 |
Special casting material (e.g., fiberglass) |
15 |
15 |
$1K |
| 72050 |
|
28 |
28 |
$1K |
| 77085 |
|
43 |
42 |
$1K |
| Q9966 |
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml |
171 |
169 |
$836.23 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
81 |
81 |
$784.51 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
899 |
874 |
$631.77 |
| 73650 |
|
26 |
18 |
$481.48 |
| 73620 |
|
25 |
18 |
$438.05 |
| 73502 |
|
12 |
12 |
$312.30 |
| J7318 |
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg |
14 |
13 |
$290.90 |
| 97116 |
|
24 |
12 |
$257.94 |
| 77089 |
|
12 |
12 |
$166.10 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$53.57 |
| 99024 |
|
25 |
25 |
$0.00 |