| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
793 |
697 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
979 |
805 |
$65K |
| 73630 |
|
1,074 |
921 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
447 |
382 |
$23K |
| 73600 |
|
952 |
821 |
$22K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
276 |
184 |
$18K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
300 |
266 |
$17K |
| 20610 |
|
389 |
336 |
$14K |
| 29405 |
|
225 |
153 |
$11K |
| 72110 |
|
175 |
166 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
416 |
360 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
27 |
$2K |
| 73562 |
|
17 |
14 |
$436.93 |