| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,620 |
6,005 |
$435K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,143 |
2,110 |
$227K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,850 |
2,641 |
$150K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
383 |
376 |
$29K |
| 73630 |
|
586 |
474 |
$11K |
| 73610 |
|
558 |
476 |
$10K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
16 |
13 |
$4K |
| 64721 |
|
12 |
12 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
59 |
38 |
$3K |
| 73560 |
|
133 |
109 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
88 |
80 |
$2K |
| 73110 |
|
90 |
74 |
$2K |
| 20610 |
|
61 |
54 |
$2K |
| 73130 |
|
83 |
66 |
$2K |
| 73030 |
|
112 |
96 |
$1K |
| 73100 |
|
54 |
41 |
$947.67 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
38 |
24 |
$895.92 |
| 73564 |
|
24 |
18 |
$477.06 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
23 |
13 |
$403.26 |
| 99072 |
|
12 |
12 |
$0.00 |