| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,368 |
2,524 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,292 |
986 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
638 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
173 |
132 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
295 |
$9K |
| 20611 |
|
323 |
188 |
$7K |
| 73562 |
|
460 |
297 |
$6K |
| 73610 |
|
248 |
167 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
883 |
613 |
$3K |
| 73630 |
|
303 |
183 |
$3K |
| 73110 |
|
298 |
144 |
$3K |
| 29075 |
|
113 |
58 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,137 |
799 |
$2K |
| 73130 |
|
134 |
79 |
$2K |
| 72100 |
|
140 |
95 |
$2K |
| 73030 |
|
97 |
61 |
$969.93 |
| 29125 |
|
40 |
27 |
$944.23 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
742 |
523 |
$539.82 |
| 72040 |
|
43 |
32 |
$426.03 |
| 73521 |
|
26 |
14 |
$181.44 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
18 |
12 |
$168.17 |
| 20552 |
|
25 |
13 |
$156.92 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
17 |
12 |
$0.00 |