| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,904 |
2,892 |
$224K |
| 99243 |
|
935 |
933 |
$76K |
| 76000 |
|
1,742 |
1,722 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
588 |
548 |
$23K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
84 |
84 |
$9K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
54 |
54 |
$5K |
| 25600 |
|
13 |
13 |
$3K |
| 73100 |
|
131 |
95 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
91 |
88 |
$3K |
| 73140 |
|
85 |
61 |
$2K |
| 26720 |
|
12 |
12 |
$2K |
| 20610 |
|
14 |
13 |
$597.74 |
| 73560 |
|
31 |
28 |
$578.79 |
| 73630 |
|
13 |
12 |
$315.29 |
| 73080 |
|
13 |
12 |
$294.12 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
15 |
14 |
$74.78 |