| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,539 |
9,536 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,684 |
9,998 |
$910K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,928 |
3,815 |
$473K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,395 |
1,395 |
$248K |
| 25600 |
|
124 |
121 |
$43K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
631 |
272 |
$41K |
| 73630 |
|
949 |
874 |
$21K |
| 73110 |
|
790 |
702 |
$19K |
| 73562 |
|
559 |
528 |
$15K |
| 73610 |
|
582 |
533 |
$13K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
118 |
114 |
$6K |
| 73140 |
|
143 |
125 |
$3K |
| 99305 |
|
12 |
12 |
$1K |
| 73100 |
|
13 |
12 |
$257.62 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$155.30 |
| J3490 |
Unclassified drugs |
12 |
12 |
$19.00 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
13 |
13 |
$0.00 |