| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
8,881 |
6,842 |
$618K |
| 99214 |
|
10,402 |
7,722 |
$457K |
| L0642 |
Lo sag ri an/pos pnl pre ots |
1,851 |
1,387 |
$439K |
| L0650 |
Lso sc r ant/pos pnl pre ots |
233 |
185 |
$168K |
| 20610 |
|
3,741 |
2,728 |
$133K |
| L1843 |
Ko single upright pre cst |
315 |
204 |
$123K |
| L3809 |
Whfo w/o joints pre ots |
590 |
423 |
$93K |
| 72110 |
|
3,271 |
2,531 |
$80K |
| 73562 |
|
2,057 |
1,518 |
$36K |
| L2795 |
Knee control full kneecap |
596 |
516 |
$28K |
| 99203 |
|
492 |
425 |
$24K |
| 72040 |
|
1,679 |
1,146 |
$23K |
| 73030 |
|
1,509 |
1,132 |
$22K |
| 72148 |
|
421 |
294 |
$20K |
| 99213 |
|
602 |
506 |
$19K |
| 73560 |
|
838 |
718 |
$18K |
| 73130 |
|
922 |
654 |
$13K |
| L2397 |
Suspension sleeve lower ext |
113 |
75 |
$6K |
| 73630 |
|
287 |
225 |
$4K |
| 73721 |
|
71 |
66 |
$4K |
| L4361 |
Pneuma/vac walk boot pre ots |
21 |
14 |
$3K |
| 73610 |
|
168 |
140 |
$3K |
| 99212 |
|
146 |
108 |
$3K |
| L1906 |
Afo multilig ank sup pre ots |
32 |
28 |
$2K |
| 73502 |
|
70 |
62 |
$2K |
| L0625 |
Lo flex l1-below l5 pre ots |
30 |
27 |
$923.75 |
| 73120 |
|
35 |
31 |
$890.46 |
| 73110 |
|
45 |
40 |
$872.34 |
| J3301 |
Triamcinolone acet inj nos |
4,280 |
2,873 |
$830.14 |
| 95907 |
|
31 |
28 |
$498.57 |
| 73600 |
|
25 |
25 |
$419.04 |
| 73521 |
|
33 |
14 |
$381.92 |
| 73100 |
|
15 |
14 |
$322.56 |
| 99401 |
|
20 |
16 |
$295.80 |