| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,211 |
3,437 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
929 |
828 |
$35K |
| 73610 |
|
438 |
317 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
60 |
$4K |
| 73630 |
|
347 |
265 |
$4K |
| 20610 |
|
422 |
284 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
158 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
202 |
180 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
769 |
591 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
15 |
13 |
$2K |
| 73562 |
|
106 |
78 |
$1K |
| 72100 |
|
107 |
87 |
$1K |
| 20611 |
|
74 |
64 |
$783.14 |
| 73110 |
|
69 |
47 |
$742.22 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
25 |
$584.92 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
23 |
13 |
$396.48 |
| 73030 |
|
53 |
38 |
$381.15 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
148 |
100 |
$188.43 |
| 73564 |
|
42 |
25 |
$180.30 |
| 73130 |
|
13 |
12 |
$173.70 |
| 1036F |
|
44 |
41 |
$0.00 |