| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,794 |
1,610 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,427 |
2,137 |
$117K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,071 |
1,040 |
$102K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
969 |
914 |
$58K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
90 |
71 |
$35K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
143 |
101 |
$20K |
| 73610 |
|
340 |
278 |
$14K |
| 73562 |
|
228 |
202 |
$11K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
59 |
49 |
$3K |
| 73030 |
|
26 |
26 |
$1K |
| 73630 |
|
18 |
12 |
$740.78 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
29 |
$729.96 |
| 73564 |
|
28 |
24 |
$616.00 |
| 99024 |
|
70 |
60 |
$0.00 |