| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,344 |
5,302 |
$334K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,893 |
6,468 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,874 |
1,832 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,961 |
3,824 |
$111K |
| 20610 |
|
3,035 |
2,681 |
$107K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,850 |
1,840 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
357 |
357 |
$34K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
4,111 |
3,995 |
$31K |
| 73630 |
|
1,417 |
738 |
$15K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
288 |
80 |
$13K |
| 73110 |
|
383 |
308 |
$8K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
25 |
25 |
$4K |
| 73610 |
|
248 |
170 |
$4K |
| 73030 |
|
203 |
167 |
$4K |
| 73562 |
|
175 |
145 |
$3K |
| 73130 |
|
107 |
95 |
$2K |
| 20550 |
|
67 |
64 |
$2K |
| 73564 |
|
79 |
78 |
$2K |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
1,695 |
1,668 |
$2K |
| 73502 |
|
74 |
64 |
$2K |
| 29075 |
|
33 |
25 |
$2K |
| 20611 |
|
24 |
24 |
$1K |
| 99201 |
|
57 |
57 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
27 |
12 |
$554.75 |
| 73080 |
|
19 |
14 |
$333.95 |
| 73560 |
|
13 |
12 |
$255.00 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
15 |
12 |
$200.24 |
| 1123F |
|
470 |
459 |
$0.00 |
| 1124F |
|
227 |
226 |
$0.00 |