| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
9,820 |
7,977 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,139 |
13,347 |
$343K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
412 |
349 |
$25K |
| 73630 |
|
1,651 |
1,111 |
$15K |
| 73562 |
|
1,478 |
989 |
$14K |
| 20610 |
|
702 |
498 |
$9K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
61 |
48 |
$8K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,057 |
1,524 |
$6K |
| 20611 |
|
297 |
216 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
166 |
$4K |
| 73610 |
|
431 |
291 |
$4K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
536 |
389 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
56 |
42 |
$2K |
| 73130 |
|
131 |
96 |
$1K |
| 73030 |
|
135 |
102 |
$1K |
| 72100 |
|
41 |
36 |
$604.71 |
| 73110 |
|
17 |
12 |
$200.60 |
| 73560 |
|
20 |
14 |
$152.19 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
19 |
13 |
$3.69 |