| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,299 |
1,995 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,174 |
1,076 |
$53K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,593 |
765 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
297 |
258 |
$18K |
| 29125 |
|
412 |
343 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
246 |
213 |
$4K |
| Q4022 |
Cast supplies, short arm splint, adult (11 years +), fiberglass |
284 |
239 |
$2K |
| 73130 |
|
51 |
40 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$1K |
| Q4051 |
Splint supplies, miscellaneous (includes thermoplastics, strapping, fasteners, padding and other supplies) |
57 |
51 |
$488.04 |
| 73110 |
|
15 |
13 |
$357.72 |
| 97018 |
|
32 |
12 |
$289.31 |
| 20550 |
|
28 |
13 |
$282.00 |