| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,709 |
2,759 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
774 |
699 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
548 |
468 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
717 |
612 |
$29K |
| 20611 |
|
476 |
347 |
$16K |
| 73110 |
|
254 |
176 |
$4K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
22 |
14 |
$2K |
| 73030 |
|
132 |
104 |
$1K |
| 73564 |
|
93 |
66 |
$1K |
| 73630 |
|
87 |
69 |
$1K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
15 |
14 |
$1K |
| 73610 |
|
83 |
60 |
$1K |
| 73130 |
|
82 |
50 |
$926.85 |
| 73562 |
|
51 |
39 |
$724.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
563 |
463 |
$99.84 |
| 99024 |
|
89 |
80 |
$0.00 |