| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,574 |
4,347 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,618 |
1,563 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,579 |
1,565 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
922 |
919 |
$78K |
| 73610 |
|
1,040 |
898 |
$18K |
| 20610 |
|
711 |
638 |
$16K |
| 20611 |
|
440 |
408 |
$13K |
| 73130 |
|
719 |
587 |
$12K |
| 73630 |
|
784 |
688 |
$12K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,640 |
2,567 |
$11K |
| 73100 |
|
436 |
343 |
$8K |
| 73030 |
|
499 |
435 |
$6K |
| 73562 |
|
272 |
232 |
$4K |
| 73564 |
|
200 |
163 |
$4K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$927.73 |
| 73070 |
|
69 |
62 |
$902.47 |
| 73502 |
|
40 |
37 |
$697.82 |
| 72110 |
|
15 |
15 |
$401.55 |
| 73110 |
|
14 |
12 |
$302.26 |
| 73140 |
|
13 |
12 |
$228.38 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
12 |
12 |
$157.34 |
| 99024 |
|
2,889 |
2,542 |
$0.00 |