| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,511 |
9,075 |
$1.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,426 |
10,653 |
$1.02M |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,006 |
3,789 |
$869K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,537 |
2,364 |
$294K |
| 25600 |
|
405 |
387 |
$158K |
| 73100 |
|
4,023 |
3,407 |
$125K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
780 |
758 |
$66K |
| 73070 |
|
1,494 |
1,254 |
$42K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
124 |
116 |
$36K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
135 |
132 |
$34K |
| 72082 |
|
786 |
735 |
$30K |
| 73610 |
|
1,080 |
941 |
$29K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
966 |
908 |
$21K |
| 77077 |
|
752 |
719 |
$18K |
| 73090 |
|
567 |
465 |
$15K |
| 29075 |
|
134 |
125 |
$14K |
| 73562 |
|
466 |
383 |
$12K |
| 73630 |
|
444 |
384 |
$11K |
| 72081 |
|
533 |
519 |
$11K |
| 99215 |
Prolong outpt/office vis |
59 |
56 |
$9K |
| 77072 |
|
622 |
587 |
$9K |
| 73140 |
|
269 |
241 |
$8K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
518 |
497 |
$7K |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
808 |
768 |
$6K |
| 26720 |
|
27 |
26 |
$5K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
623 |
552 |
$5K |
| 73502 |
|
141 |
138 |
$5K |
| 73130 |
|
151 |
139 |
$4K |
| 73560 |
|
131 |
101 |
$3K |
| 73590 |
|
106 |
91 |
$3K |
| 29425 |
|
53 |
50 |
$3K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
13 |
$3K |
| 73000 |
|
39 |
36 |
$1K |
| Q4040 |
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
55 |
50 |
$901.17 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
12 |
$595.18 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
12 |
12 |
$385.49 |
| 99024 |
|
2,818 |
2,445 |
$0.00 |