| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,610 |
2,453 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,545 |
2,975 |
$121K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,078 |
1,028 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
672 |
597 |
$32K |
| 73100 |
|
751 |
608 |
$19K |
| 29065 |
|
189 |
164 |
$12K |
| 73560 |
|
165 |
130 |
$4K |
| 29075 |
|
62 |
51 |
$4K |
| 73070 |
|
142 |
112 |
$3K |
| 73610 |
|
85 |
70 |
$2K |
| 99072 |
|
543 |
437 |
$2K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
38 |
13 |
$2K |
| 73630 |
|
56 |
42 |
$1K |
| 72080 |
|
13 |
13 |
$368.55 |
| 73000 |
|
18 |
13 |
$353.67 |
| 73090 |
|
17 |
12 |
$320.23 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
16 |
14 |
$0.00 |