| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,044 |
1,867 |
$157K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,993 |
2,841 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,409 |
1,386 |
$116K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
736 |
724 |
$89K |
| 72114 |
|
851 |
838 |
$40K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
215 |
215 |
$39K |
| 20610 |
|
649 |
575 |
$27K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
109 |
109 |
$23K |
| S9999 |
Sales tax |
1,558 |
1,131 |
$19K |
| 73564 |
|
470 |
429 |
$11K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
82 |
77 |
$10K |
| 73562 |
|
308 |
295 |
$8K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
27 |
27 |
$7K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
33 |
33 |
$6K |
| 72050 |
|
145 |
143 |
$5K |
| 73030 |
|
212 |
205 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
543 |
512 |
$4K |
| 73630 |
|
165 |
142 |
$4K |
| 99243 |
|
26 |
26 |
$3K |
| L4386 |
Walking boot, non-pneumatic, 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 |
16 |
16 |
$2K |
| 73610 |
|
84 |
76 |
$2K |
| 72100 |
|
42 |
41 |
$971.34 |
| 73110 |
|
13 |
13 |
$273.72 |