| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,074 |
4,893 |
$415K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,119 |
3,105 |
$385K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,104 |
975 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
416 |
414 |
$36K |
| 99205 |
Prolong outpt/office vis |
150 |
150 |
$23K |
| 29075 |
|
301 |
275 |
$22K |
| 20610 |
|
299 |
278 |
$15K |
| 76882 |
|
649 |
587 |
$13K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
164 |
94 |
$9K |
| 99255 |
|
76 |
74 |
$9K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
334 |
333 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
163 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
59 |
59 |
$6K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
116 |
99 |
$5K |
| 20550 |
|
87 |
79 |
$4K |
| L3670 |
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf |
40 |
40 |
$3K |
| 64721 |
|
12 |
12 |
$3K |
| 11721 |
|
555 |
552 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
153 |
151 |
$1K |
| 15275 |
|
26 |
12 |
$1K |
| 11056 |
|
183 |
183 |
$1K |
| 29125 |
|
16 |
15 |
$727.55 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
22 |
13 |
$712.93 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
245 |
245 |
$640.47 |
| 99221 |
|
15 |
14 |
$396.86 |