| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,781 |
3,057 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,805 |
3,127 |
$147K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,540 |
1,358 |
$139K |
| 99243 |
|
683 |
570 |
$60K |
| 29075 |
|
158 |
133 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
180 |
$11K |
| 25600 |
|
17 |
12 |
$3K |
| 29065 |
|
12 |
12 |
$866.40 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
15 |
12 |
$381.34 |