| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,743 |
1,493 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,688 |
1,199 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,708 |
1,837 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
497 |
422 |
$55K |
| 73110 |
|
1,472 |
989 |
$36K |
| 73130 |
|
1,238 |
876 |
$31K |
| 20550 |
|
1,181 |
766 |
$30K |
| 64721 |
|
90 |
79 |
$28K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
489 |
369 |
$24K |
| 20526 |
|
289 |
205 |
$12K |
| Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
152 |
110 |
$8K |
| 73140 |
|
365 |
254 |
$8K |
| 77002 |
|
73 |
59 |
$5K |
| 26600 |
|
26 |
19 |
$5K |
| 29125 |
|
198 |
146 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,306 |
2,335 |
$4K |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
936 |
644 |
$3K |
| 29085 |
|
37 |
27 |
$2K |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
35 |
29 |
$2K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
17 |
12 |
$921.40 |
| 20600 |
|
39 |
29 |
$908.23 |
| L3923 |
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
20 |
15 |
$816.26 |
| Q4049 |
Finger splint, static |
49 |
41 |
$218.23 |