| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,436 |
1,205 |
$151K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
478 |
456 |
$83K |
| 73110 |
|
609 |
489 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
168 |
149 |
$15K |
| 25600 |
|
40 |
28 |
$12K |
| 73130 |
|
240 |
204 |
$11K |
| 73630 |
|
216 |
180 |
$8K |
| L3807 |
Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
38 |
38 |
$5K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
119 |
112 |
$5K |
| 73090 |
|
116 |
101 |
$4K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$2K |
| 73610 |
|
46 |
43 |
$2K |
| 73590 |
|
12 |
12 |
$492.00 |