| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,877 |
2,635 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,055 |
1,055 |
$84K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
28 |
26 |
$19K |
| 20610 |
|
440 |
418 |
$17K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
500 |
476 |
$10K |
| 76140 |
|
584 |
575 |
$9K |
| 76881 |
|
71 |
62 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
158 |
153 |
$3K |
| 20611 |
|
17 |
14 |
$345.12 |
| 73562 |
|
13 |
13 |
$75.31 |
| 73564 |
|
12 |
12 |
$49.70 |