| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,320 |
22,222 |
$2.61M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,402 |
6,217 |
$1.04M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,514 |
6,489 |
$963K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,402 |
2,396 |
$539K |
| 95886 |
|
1,173 |
1,151 |
$219K |
| 95909 |
|
539 |
534 |
$106K |
| 95911 |
|
247 |
243 |
$79K |
| 73630 |
|
1,514 |
1,329 |
$63K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,958 |
1,843 |
$60K |
| 20611 |
|
465 |
376 |
$58K |
| 73610 |
|
1,066 |
980 |
$48K |
| 99215 |
Prolong outpt/office vis |
168 |
162 |
$38K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
86 |
85 |
$28K |
| 73562 |
|
450 |
406 |
$21K |
| 73110 |
|
384 |
339 |
$20K |
| 73130 |
|
377 |
329 |
$17K |
| 72100 |
|
328 |
327 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
122 |
60 |
$12K |
| 72148 |
Magnetic resonance imaging, lumbar spine; without contrast material |
39 |
39 |
$12K |
| 73030 |
|
239 |
230 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
509 |
494 |
$8K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
113 |
112 |
$8K |
| 73221 |
|
26 |
25 |
$8K |
| 97799 |
|
124 |
74 |
$6K |
| L2114 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, semi-rigid, prefabricated, includes fitting and adjustment |
12 |
12 |
$5K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
129 |
127 |
$5K |
| 73502 |
|
60 |
60 |
$3K |
| 20610 |
|
32 |
26 |
$3K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
32 |
$3K |
| 64483 |
|
16 |
13 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
37 |
36 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$1K |
| 72040 |
|
28 |
28 |
$1K |
| 76942 |
|
12 |
12 |
$650.55 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
13 |
12 |
$577.94 |
| 99058 |
|
1,493 |
1,481 |
$297.29 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
17 |
$42.00 |
| 99024 |
|
412 |
348 |
$0.00 |