| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,292 |
3,057 |
$255K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,075 |
2,622 |
$147K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
147 |
139 |
$7K |
| 29075 |
|
25 |
25 |
$2K |
| 29065 |
|
12 |
12 |
$1K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
50 |
42 |
$554.25 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
12 |
12 |
$208.29 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
15 |
14 |
$131.07 |