| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,129 |
8,277 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,098 |
2,534 |
$110K |
| 20610 |
|
4,201 |
2,908 |
$70K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,602 |
3,082 |
$13K |
| 73562 |
|
283 |
237 |
$2K |
| 99243 |
|
12 |
12 |
$1K |
| 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 |
12 |
12 |
$206.83 |
| 73560 |
|
17 |
13 |
$128.12 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$89.21 |
| 97750 |
|
40 |
37 |
$0.00 |