| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,002 |
13,121 |
$477K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,738 |
3,332 |
$189K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
393 |
354 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
465 |
328 |
$15K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
171 |
149 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
70 |
65 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
154 |
129 |
$4K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
673 |
534 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
580 |
208 |
$2K |
| 20610 |
|
96 |
76 |
$2K |
| 73630 |
|
86 |
66 |
$1K |
| 73564 |
|
61 |
53 |
$1K |
| L1812 |
Knee orthosis, elastic with joints, prefabricated, off-the-shelf |
14 |
12 |
$1K |
| 73110 |
|
37 |
26 |
$759.00 |
| L2795 |
Addition to lower extremity orthosis, knee control, full kneecap |
14 |
12 |
$608.72 |
| 73610 |
|
33 |
28 |
$567.18 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
19 |
13 |
$451.38 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$354.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
233 |
150 |
$168.36 |