| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,678 |
1,629 |
$191K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,186 |
2,020 |
$176K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
819 |
792 |
$115K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,559 |
1,445 |
$114K |
| 99243 |
|
1,262 |
1,074 |
$107K |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
2,376 |
1,734 |
$77K |
| 73100 |
|
1,050 |
938 |
$31K |
| 25600 |
|
94 |
87 |
$31K |
| 99215 |
Prolong outpt/office vis |
95 |
93 |
$10K |
| 99205 |
Prolong outpt/office vis |
53 |
41 |
$7K |
| 73562 |
|
110 |
106 |
$4K |
| 73070 |
|
56 |
52 |
$1K |
| 73140 |
|
42 |
39 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
13 |
$892.37 |
| 73610 |
|
31 |
27 |
$851.67 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
13 |
12 |
$173.48 |
| 99072 |
|
21 |
21 |
$0.00 |