| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,729 |
1,575 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,554 |
1,331 |
$76K |
| 73610 |
|
1,134 |
982 |
$31K |
| 73630 |
|
1,209 |
1,032 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
370 |
338 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
92 |
$10K |
| 73721 |
Magnetic resonance imaging, any joint of lower extremity; without contrast material |
25 |
24 |
$7K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
13 |
$1K |
| 20610 |
|
14 |
12 |
$641.37 |