| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,330 |
3,326 |
$231K |
| 25600 |
|
378 |
376 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,995 |
1,857 |
$85K |
| 76000 |
|
1,594 |
1,461 |
$50K |
| 73110 |
|
2,035 |
1,657 |
$34K |
| 28470 |
|
130 |
130 |
$27K |
| 73630 |
|
1,451 |
1,273 |
$23K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
660 |
654 |
$20K |
| 73610 |
|
938 |
807 |
$15K |
| 73140 |
|
677 |
593 |
$9K |
| L3260 |
Surgical boot/shoe, each |
425 |
425 |
$5K |
| 73562 |
|
207 |
200 |
$4K |
| 73080 |
|
170 |
147 |
$3K |
| L4350 |
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf |
57 |
57 |
$2K |
| 73590 |
|
63 |
52 |
$963.53 |
| 73030 |
|
31 |
27 |
$515.62 |
| 29700 |
|
12 |
12 |
$442.34 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
80 |
80 |
$362.91 |
| 73130 |
|
17 |
14 |
$240.16 |
| 73660 |
|
20 |
18 |
$237.42 |