| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
998 |
935 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
214 |
212 |
$24K |
| 73130 |
|
638 |
512 |
$21K |
| 73110 |
|
544 |
435 |
$20K |
| 73140 |
|
297 |
230 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$3K |
| 29075 |
|
13 |
13 |
$1K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
12 |
12 |
$347.10 |