| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,067 |
2,973 |
$262K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
753 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
321 |
320 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
440 |
438 |
$56K |
| 20550 |
|
280 |
246 |
$15K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
119 |
111 |
$8K |
| 73130 |
|
131 |
127 |
$5K |
| 73110 |
|
89 |
83 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
317 |
304 |
$3K |
| 73140 |
|
57 |
55 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
194 |
191 |
$2K |
| 64450 |
|
27 |
27 |
$488.32 |
| J3490 |
Unclassified drugs |
360 |
347 |
$403.81 |
| 99072 |
|
13 |
13 |
$17.73 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
289 |
285 |
$6.58 |