| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,547 |
9,197 |
$86K |
| 99233 |
Prolong inpt eval add15 m |
259 |
218 |
$13K |
| 73610 |
|
1,064 |
858 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,173 |
992 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
147 |
$3K |
| 73590 |
|
267 |
214 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
411 |
$3K |
| 73552 |
|
172 |
143 |
$2K |
| 73630 |
|
495 |
381 |
$1K |
| 76000 |
|
72 |
56 |
$848.26 |
| 73030 |
|
249 |
204 |
$687.11 |
| 73110 |
|
90 |
66 |
$522.50 |
| 73502 |
|
160 |
142 |
$466.58 |
| 80305 |
|
324 |
301 |
$333.52 |
| 20610 |
|
248 |
184 |
$315.47 |
| 72170 |
|
44 |
40 |
$313.47 |
| 96127 |
|
1,013 |
937 |
$241.53 |
| 73560 |
|
65 |
52 |
$211.84 |
| 73140 |
|
33 |
27 |
$166.13 |
| 72100 |
|
12 |
12 |
$160.77 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$80.56 |
| 99152 |
|
26 |
25 |
$37.15 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
34 |
28 |
$4.71 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
101 |
79 |
$3.44 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
42 |
38 |
$0.00 |
| 73565 |
|
14 |
14 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
48 |
39 |
$0.00 |