| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,157 |
2,113 |
$307K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,631 |
2,407 |
$289K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
974 |
941 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
295 |
$51K |
| 25600 |
|
41 |
41 |
$14K |
| 73100 |
|
170 |
154 |
$6K |
| 73521 |
|
96 |
93 |
$4K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
61 |
61 |
$4K |
| 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 |
12 |
12 |
$2K |
| 73070 |
|
16 |
12 |
$516.80 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
32 |
30 |
$465.55 |