| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,276 |
2,212 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,164 |
3,019 |
$71K |
| 72081 |
|
573 |
564 |
$19K |
| 20610 |
|
1,069 |
841 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
179 |
$13K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
183 |
39 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
720 |
695 |
$11K |
| 73564 |
|
468 |
352 |
$8K |
| 73502 |
|
228 |
197 |
$7K |
| 73100 |
|
175 |
163 |
$5K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
969 |
852 |
$4K |
| 73070 |
|
134 |
124 |
$3K |
| 99215 |
Prolong outpt/office vis |
39 |
39 |
$3K |
| 29075 |
|
41 |
38 |
$3K |
| 73110 |
|
85 |
81 |
$3K |
| 73090 |
|
116 |
109 |
$3K |
| 73080 |
|
61 |
53 |
$2K |
| 73562 |
|
162 |
149 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$1K |
| 73610 |
|
42 |
38 |
$1K |
| 73560 |
|
40 |
36 |
$1K |
| 29065 |
|
13 |
13 |
$1K |
| 73000 |
|
12 |
12 |
$316.56 |
| 73030 |
|
14 |
12 |
$36.28 |
| 97150 |
Therapeutic procedure(s), group (2 or more individuals) |
54 |
12 |
$0.00 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
13 |
13 |
$0.00 |