| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,708 |
7,518 |
$850K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,433 |
5,409 |
$572K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,239 |
3,231 |
$520K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,476 |
5,372 |
$422K |
| 20610 |
|
6,434 |
4,692 |
$301K |
| 73560 |
|
6,231 |
4,879 |
$190K |
| 73565 |
|
4,501 |
4,474 |
$164K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
3,825 |
3,651 |
$98K |
| 73030 |
|
1,950 |
1,782 |
$61K |
| 73502 |
|
1,010 |
929 |
$43K |
| 73130 |
|
1,051 |
860 |
$36K |
| 73110 |
|
772 |
711 |
$30K |
| 73610 |
|
823 |
725 |
$27K |
| 20550 |
|
416 |
386 |
$21K |
| 73620 |
|
436 |
392 |
$12K |
| 95886 |
|
57 |
57 |
$10K |
| 73630 |
|
337 |
289 |
$9K |
| 95912 |
|
41 |
41 |
$9K |
| 73080 |
|
259 |
246 |
$8K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
28 |
28 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
806 |
777 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
45 |
40 |
$2K |
| 72100 |
|
50 |
50 |
$2K |
| 72170 |
|
30 |
30 |
$695.62 |