| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
987 |
886 |
$55K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
378 |
352 |
$29K |
| 99243 |
|
69 |
66 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
92 |
$7K |
| A4590 |
Special casting material (e.g., fiberglass) |
105 |
96 |
$3K |
| 72082 |
|
58 |
58 |
$2K |
| 73562 |
|
101 |
70 |
$2K |
| 62323 |
|
23 |
15 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
14 |
$2K |
| 73630 |
|
54 |
31 |
$1K |
| 72081 |
|
39 |
37 |
$1K |
| 73560 |
|
52 |
33 |
$1K |
| 20610 |
|
19 |
16 |
$476.87 |
| 73100 |
|
19 |
16 |
$476.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$368.17 |
| A4550 |
Surgical trays |
87 |
71 |
$338.40 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
27 |
24 |
$289.13 |
| 73610 |
|
18 |
15 |
$289.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
24 |
17 |
$1.38 |