| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,419 |
15,592 |
$462K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,859 |
9,364 |
$299K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,473 |
6,137 |
$260K |
| 20611 |
|
4,165 |
3,160 |
$59K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,331 |
1,767 |
$54K |
| 73564 |
|
4,370 |
2,695 |
$25K |
| 73110 |
|
2,022 |
1,332 |
$24K |
| 73610 |
|
2,703 |
1,799 |
$23K |
| 73630 |
|
2,678 |
1,792 |
$21K |
| 20610 |
|
1,561 |
1,200 |
$15K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
3,970 |
3,158 |
$13K |
| 73030 |
|
2,723 |
1,989 |
$11K |
| 99205 |
Prolong outpt/office vis |
121 |
102 |
$9K |
| 73130 |
|
1,145 |
694 |
$8K |
| 99215 |
Prolong outpt/office vis |
127 |
114 |
$6K |
| 29075 |
|
274 |
157 |
$5K |
| 73502 |
|
1,397 |
1,014 |
$4K |
| 72110 |
|
564 |
452 |
$4K |
| 72170 |
|
396 |
343 |
$3K |
| J3304 |
Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg |
170 |
107 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,292 |
980 |
$3K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
73 |
59 |
$2K |
| 73560 |
|
725 |
526 |
$2K |
| 76942 |
|
264 |
173 |
$1K |
| 99024 |
|
3,659 |
2,953 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
137 |
$1K |
| 99243 |
|
13 |
12 |
$1K |
| 72100 |
|
399 |
310 |
$1K |
| 73140 |
|
69 |
52 |
$999.89 |
| 29405 |
|
16 |
16 |
$780.72 |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
109 |
78 |
$702.20 |
| 73080 |
|
83 |
44 |
$529.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
362 |
271 |
$496.06 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
132 |
67 |
$378.40 |
| 72050 |
|
34 |
28 |
$371.84 |
| 77073 |
|
66 |
49 |
$362.63 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
15 |
15 |
$343.35 |
| 20550 |
|
139 |
78 |
$296.36 |
| 72040 |
|
42 |
30 |
$255.10 |
| 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 |
17 |
12 |
$222.46 |
| 73590 |
|
57 |
26 |
$174.99 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
226 |
181 |
$109.43 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
421 |
289 |
$91.15 |
| 73562 |
|
47 |
28 |
$90.35 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
654 |
415 |
$57.32 |
| L3660 |
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf |
12 |
12 |
$0.00 |