| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
713 |
693 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,603 |
1,456 |
$71K |
| 99205 |
Prolong outpt/office vis |
264 |
257 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
270 |
$28K |
| 99243 |
|
112 |
110 |
$11K |
| 99072 |
|
567 |
426 |
$3K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
12 |
12 |
$1K |
| 73070 |
|
34 |
26 |
$879.44 |
| 73100 |
|
31 |
26 |
$779.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
21 |
$0.00 |