| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,746 |
4,163 |
$193K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,859 |
1,704 |
$117K |
| 20611 |
|
1,361 |
1,189 |
$73K |
| 72110 |
|
430 |
394 |
$14K |
| 73564 |
|
325 |
292 |
$11K |
| 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 |
119 |
110 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
128 |
114 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,929 |
1,671 |
$5K |
| 76942 |
|
86 |
78 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
114 |
$2K |
| 95886 |
|
15 |
15 |
$1K |
| 95911 |
|
15 |
15 |
$876.36 |
| 73030 |
|
14 |
12 |
$280.01 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
35 |
27 |
$0.02 |
| 99024 |
|
45 |
40 |
$0.00 |