| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,616 |
3,259 |
$162K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
727 |
718 |
$55K |
| 11721 |
|
1,355 |
1,332 |
$26K |
| 73630 |
|
556 |
425 |
$14K |
| 29540 |
|
693 |
438 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
85 |
$8K |
| 99307 |
|
334 |
330 |
$6K |
| S9999 |
Sales tax |
728 |
583 |
$5K |
| 20550 |
|
67 |
45 |
$2K |
| 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 |
15 |
14 |
$2K |
| 99304 |
|
50 |
49 |
$2K |
| 11750 |
|
14 |
12 |
$1K |
| 73620 |
|
59 |
44 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
20 |
$724.19 |
| 11720 |
|
46 |
46 |
$398.98 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
16 |
13 |
$102.21 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
105 |
96 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
18 |
16 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
138 |
116 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
152 |
133 |
$0.00 |