| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,340 |
2,078 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
846 |
846 |
$84K |
| 99205 |
Prolong outpt/office vis |
461 |
461 |
$64K |
| 99215 |
Prolong outpt/office vis |
436 |
431 |
$43K |
| 20611 |
|
296 |
251 |
$16K |
| 76881 |
|
253 |
239 |
$13K |
| 20610 |
|
242 |
160 |
$8K |
| L1833 |
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf |
15 |
15 |
$4K |
| 73562 |
|
154 |
130 |
$3K |
| J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose |
23 |
13 |
$1K |
| 73610 |
|
15 |
13 |
$375.10 |