| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,001 |
5,505 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,335 |
3,137 |
$116K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,547 |
3,370 |
$107K |
| 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 |
615 |
592 |
$95K |
| L1832 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
149 |
134 |
$58K |
| 20610 |
|
1,841 |
1,269 |
$39K |
| 20611 |
|
202 |
159 |
$7K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
150 |
144 |
$7K |
| 25600 |
|
47 |
43 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
308 |
$4K |
| 73610 |
|
640 |
516 |
$4K |
| 73564 |
|
485 |
363 |
$3K |
| 73630 |
|
517 |
441 |
$3K |
| 73110 |
|
496 |
400 |
$3K |
| 73130 |
|
496 |
393 |
$3K |
| L1810 |
Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
38 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$2K |
| 64721 |
|
14 |
13 |
$2K |
| 20526 |
|
64 |
55 |
$2K |
| 72110 |
|
177 |
172 |
$2K |
| 73140 |
|
355 |
285 |
$2K |
| 20550 |
|
62 |
40 |
$2K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
238 |
201 |
$1K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
28 |
24 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
62 |
55 |
$1K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
13 |
13 |
$902.33 |
| 73030 |
|
151 |
117 |
$793.11 |
| 73100 |
|
106 |
81 |
$698.82 |
| L3260 |
Surgical boot/shoe, each |
119 |
117 |
$689.00 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
69 |
63 |
$560.29 |
| 73560 |
|
117 |
90 |
$473.65 |
| 73080 |
|
75 |
54 |
$406.00 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$377.39 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
35 |
25 |
$141.98 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
18 |
16 |
$56.85 |