| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,914 |
11,927 |
$58K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,572 |
3,469 |
$30K |
| 20610 |
|
2,816 |
2,044 |
$11K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
241 |
139 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,077 |
1,003 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
279 |
191 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,225 |
1,196 |
$4K |
| 73630 |
|
3,349 |
2,599 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,010 |
1,004 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
1,287 |
1,159 |
$2K |
| 11721 |
|
1,830 |
1,808 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
33 |
$1K |
| L1851 |
Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf |
38 |
28 |
$1K |
| 73610 |
|
287 |
261 |
$165.05 |
| L2397 |
Addition to lower extremity orthosis, suspension sleeve |
35 |
27 |
$122.32 |
| 99243 |
|
290 |
289 |
$83.72 |
| 29799 |
|
26 |
26 |
$50.49 |
| 11055 |
|
12 |
12 |
$50.25 |
| 11056 |
|
14 |
13 |
$25.32 |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
39 |
33 |
$0.00 |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
52 |
52 |
$0.00 |
| 73565 |
|
13 |
13 |
$0.00 |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
30 |
13 |
$0.00 |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
151 |
80 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$0.00 |