| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,146 |
2,906 |
$243K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,777 |
1,669 |
$213K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,560 |
3,052 |
$212K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,074 |
944 |
$98K |
| 20610 |
|
1,699 |
1,407 |
$62K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,670 |
1,244 |
$11K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
837 |
491 |
$5K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
13 |
12 |
$4K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
362 |
316 |
$3K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
18 |
18 |
$1K |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
16 |
16 |
$914.04 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
798 |
393 |
$761.55 |
| 73560 |
|
14 |
13 |
$433.00 |