| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,455 |
5,574 |
$171K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,474 |
1,967 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,224 |
1,097 |
$55K |
| 20610 |
|
2,110 |
1,548 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
458 |
355 |
$27K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
1,855 |
685 |
$11K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,332 |
1,979 |
$9K |
| 73562 |
|
845 |
662 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
275 |
243 |
$5K |
| 73630 |
|
277 |
179 |
$3K |
| 73610 |
|
195 |
152 |
$3K |
| A4590 |
Special casting material (e.g., fiberglass) |
57 |
51 |
$1K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
234 |
188 |
$980.23 |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$594.50 |
| 73110 |
|
21 |
16 |
$336.18 |
| 73030 |
|
19 |
12 |
$160.30 |
| 73502 |
|
43 |
25 |
$134.44 |
| 73564 |
|
25 |
14 |
$90.81 |
| 73130 |
|
25 |
12 |
$70.86 |