| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76881 |
|
5,802 |
3,864 |
$304K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,350 |
3,891 |
$272K |
| 20611 |
|
3,858 |
2,513 |
$183K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,551 |
1,535 |
$122K |
| 76882 |
|
1,964 |
1,444 |
$46K |
| 76942 |
|
775 |
739 |
$39K |
| 20550 |
|
868 |
738 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
282 |
271 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
183 |
181 |
$20K |
| 73560 |
|
1,017 |
763 |
$20K |
| 72100 |
|
471 |
465 |
$10K |
| L1843 |
Knee orthosis, single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
18 |
14 |
$10K |
| 73562 |
|
458 |
318 |
$9K |
| 95886 |
|
90 |
87 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,592 |
2,477 |
$5K |
| J7324 |
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose |
120 |
72 |
$5K |
| 72170 |
|
298 |
296 |
$4K |
| 99215 |
Prolong outpt/office vis |
95 |
90 |
$4K |
| 20606 |
|
46 |
31 |
$3K |
| 73564 |
|
42 |
38 |
$1K |
| 73030 |
|
60 |
52 |
$1K |
| 73630 |
|
14 |
14 |
$263.23 |
| J2150 |
Injection, mannitol, 25% in 50 ml |
88 |
79 |
$176.09 |