| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,802 |
1,479 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
684 |
683 |
$42K |
| 73110 |
|
1,149 |
777 |
$25K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
255 |
$20K |
| 73140 |
|
773 |
625 |
$16K |
| 29280 |
|
1,510 |
1,048 |
$15K |
| 29125 |
|
405 |
293 |
$13K |
| 73130 |
|
548 |
413 |
$10K |
| 29260 |
|
947 |
721 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
142 |
$7K |
| 73080 |
|
326 |
224 |
$5K |
| 99401 |
|
390 |
286 |
$5K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
376 |
288 |
$4K |
| 29075 |
|
96 |
66 |
$4K |
| 29085 |
|
40 |
29 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
297 |
223 |
$2K |
| 76881 |
|
38 |
30 |
$1K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
90 |
64 |
$1K |
| Q4014 |
Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass |
46 |
32 |
$837.64 |
| 73030 |
|
45 |
37 |
$792.69 |
| 99406 |
|
130 |
104 |
$705.08 |
| 97535 |
Self-care/home management training, each 15 minutes |
138 |
96 |
$698.19 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
27 |
25 |
$683.28 |
| 97763 |
|
35 |
31 |
$605.05 |
| 97760 |
|
38 |
36 |
$520.95 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
37 |
36 |
$365.79 |
| 99072 |
|
174 |
137 |
$0.00 |
| 99024 |
|
38 |
28 |
$0.00 |