| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99243 |
|
1,026 |
1,002 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,975 |
3,318 |
$7K |
| 20610 |
|
3,505 |
2,279 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,616 |
1,374 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,176 |
1,167 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
611 |
611 |
$1K |
| 73560 |
|
2,081 |
1,666 |
$1K |
| 73030 |
|
838 |
758 |
$852.19 |
| 99215 |
Prolong outpt/office vis |
656 |
611 |
$641.48 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
738 |
728 |
$626.78 |
| 29876 |
|
12 |
12 |
$573.34 |
| 73130 |
|
833 |
591 |
$387.10 |
| 73110 |
|
291 |
242 |
$331.80 |
| 99245 |
|
111 |
111 |
$224.84 |
| S0020 |
Injection, bupivicaine hydrochloride, 30 ml |
1,188 |
984 |
$218.52 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,208 |
1,085 |
$165.27 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
659 |
217 |
$14.22 |
| 99401 |
|
19 |
17 |
$12.28 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
807 |
742 |
$11.70 |
| 73120 |
|
17 |
15 |
$0.00 |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
12 |
12 |
$0.00 |
| 73562 |
|
236 |
199 |
$0.00 |
| 73020 |
|
194 |
187 |
$0.00 |
| 99242 |
|
121 |
116 |
$0.00 |
| 73610 |
|
91 |
76 |
$0.00 |