| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
660 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,046 |
938 |
$47K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
366 |
344 |
$41K |
| L3984 |
Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment |
62 |
49 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
129 |
66 |
$12K |
| 99243 |
|
69 |
68 |
$9K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
27 |
$6K |
| 73100 |
|
61 |
51 |
$1K |
| 73130 |
|
41 |
32 |
$1K |
| 73560 |
|
39 |
29 |
$1K |
| L3995 |
Addition to upper extremity orthosis, sock, fracture or equal, each |
39 |
26 |
$641.44 |
| 73110 |
|
14 |
12 |
$504.79 |
| 73090 |
|
12 |
12 |
$246.53 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$189.24 |
| 99024 |
|
1,444 |
1,046 |
$0.00 |