| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,766 |
7,903 |
$320K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,393 |
2,309 |
$139K |
| 73630 |
|
3,028 |
2,119 |
$59K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
1,316 |
1,189 |
$56K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
101 |
101 |
$17K |
| 73610 |
|
740 |
587 |
$14K |
| 29405 |
|
268 |
189 |
$13K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
62 |
61 |
$8K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
201 |
132 |
$6K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
129 |
120 |
$5K |
| 11721 |
|
904 |
869 |
$5K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
36 |
35 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
52 |
$4K |
| 11730 |
|
41 |
41 |
$3K |
| 11720 |
|
708 |
698 |
$3K |
| 97597 |
|
44 |
26 |
$1K |
| 99307 |
|
107 |
100 |
$835.16 |
| 11719 |
|
434 |
430 |
$681.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$181.87 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
14 |
$45.98 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$0.56 |