| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,144 |
7,017 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,107 |
1,079 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
493 |
478 |
$57K |
| 73630 |
|
2,262 |
1,558 |
$38K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
49 |
39 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
152 |
133 |
$10K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
120 |
85 |
$6K |
| 11721 |
|
467 |
454 |
$6K |
| 11750 |
|
29 |
19 |
$3K |
| 73610 |
|
184 |
126 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
118 |
116 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
14 |
13 |
$2K |
| 11730 |
|
52 |
51 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
29 |
12 |
$1K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
12 |
$997.78 |
| 99307 |
|
56 |
55 |
$736.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$275.59 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
16 |
14 |
$126.63 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
93 |
84 |
$126.13 |