| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
1,016 |
931 |
$108K |
| L3809 |
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type |
484 |
368 |
$84K |
| 99215 |
Prolong outpt/office vis |
1,068 |
975 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
915 |
835 |
$49K |
| 20610 |
|
962 |
823 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
476 |
440 |
$42K |
| 73564 |
|
948 |
845 |
$27K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
91 |
87 |
$18K |
| L1820 |
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
208 |
177 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
394 |
360 |
$13K |
| 73130 |
|
517 |
461 |
$11K |
| 73630 |
|
508 |
462 |
$10K |
| 20605 |
|
287 |
261 |
$10K |
| 73030 |
|
397 |
358 |
$8K |
| 73110 |
|
380 |
325 |
$8K |
| 73610 |
|
368 |
330 |
$7K |
| 73521 |
|
219 |
207 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
126 |
117 |
$5K |
| 72114 |
|
70 |
69 |
$3K |
| 72200 |
|
115 |
113 |
$2K |
| 72170 |
|
68 |
67 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
13 |
$907.86 |
| 73090 |
|
51 |
43 |
$831.90 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,274 |
1,163 |
$621.59 |
| 20600 |
|
17 |
13 |
$276.08 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
46 |
40 |
$0.00 |