| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,894 |
9,753 |
$802K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
5,863 |
2,770 |
$295K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,127 |
1,958 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,002 |
1,792 |
$201K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
1,099 |
1,045 |
$159K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,163 |
1,173 |
$112K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,633 |
1,303 |
$84K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
587 |
526 |
$67K |
| 99072 |
|
2,425 |
1,846 |
$40K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
626 |
545 |
$30K |
| 97161 |
|
360 |
340 |
$30K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
599 |
342 |
$28K |
| 73630 |
|
989 |
799 |
$27K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
375 |
350 |
$25K |
| 62323 |
|
104 |
89 |
$22K |
| 73610 |
|
626 |
546 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
107 |
104 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
503 |
351 |
$18K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
195 |
182 |
$14K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
871 |
699 |
$6K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
55 |
53 |
$6K |
| 20611 |
|
52 |
51 |
$5K |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
98 |
94 |
$5K |
| 62321 |
|
13 |
12 |
$3K |
| 64483 |
|
13 |
12 |
$3K |
| 64493 |
|
19 |
12 |
$3K |
| 73110 |
|
47 |
40 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
164 |
106 |
$2K |
| 20610 |
|
44 |
39 |
$2K |
| 73564 |
|
50 |
43 |
$2K |
| 97165 |
|
13 |
13 |
$980.98 |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
12 |
12 |
$864.00 |
| 72082 |
|
15 |
14 |
$760.80 |
| 72100 |
|
14 |
14 |
$631.54 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
63 |
45 |
$384.48 |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
13 |
12 |
$1.43 |
| 99024 |
|
14 |
14 |
$0.00 |