| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,547 |
5,214 |
$206K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,492 |
1,347 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,284 |
1,136 |
$57K |
| 20611 |
|
1,307 |
994 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
461 |
424 |
$35K |
| 76942 |
|
120 |
107 |
$6K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
651 |
557 |
$5K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
28 |
27 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
334 |
166 |
$4K |
| 73562 |
|
169 |
139 |
$2K |
| 20610 |
|
70 |
61 |
$2K |
| 20551 |
|
41 |
38 |
$1K |
| 73610 |
|
63 |
52 |
$1K |
| 73110 |
|
51 |
41 |
$892.87 |
| 73630 |
|
56 |
45 |
$887.94 |
| 73130 |
|
38 |
25 |
$546.79 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
158 |
139 |
$456.18 |
| 73030 |
|
29 |
24 |
$412.11 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,303 |
1,142 |
$296.01 |
| 72100 |
|
12 |
12 |
$248.38 |