| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,810 |
3,957 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,383 |
1,998 |
$95K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
424 |
$27K |
| 20610 |
|
1,005 |
720 |
$14K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,779 |
1,426 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
420 |
275 |
$3K |
| 64721 |
|
15 |
14 |
$3K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
51 |
40 |
$3K |
| 20550 |
|
84 |
48 |
$2K |
| 20605 |
|
125 |
68 |
$2K |
| 73630 |
|
34 |
27 |
$547.50 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
25 |
24 |
$502.59 |
| 73130 |
|
24 |
16 |
$366.09 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
155 |
90 |
$363.84 |
| 73100 |
|
15 |
15 |
$312.58 |
| 97750 |
|
26 |
24 |
$243.71 |
| 73564 |
|
28 |
12 |
$112.68 |
| 72110 |
|
64 |
30 |
$80.44 |
| 73030 |
|
21 |
12 |
$48.63 |
| 73610 |
|
39 |
12 |
$0.00 |