| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,089 |
2,771 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
787 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
268 |
117 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
160 |
150 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
59 |
48 |
$5K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
29 |
26 |
$1K |
| 20610 |
|
15 |
12 |
$574.80 |
| 72100 |
|
12 |
12 |
$356.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
26 |
$270.51 |
| 80305 |
|
38 |
36 |
$267.40 |
| 73610 |
|
15 |
14 |
$182.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
27 |
24 |
$91.39 |