| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
5,936 |
5,215 |
$513K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,456 |
3,864 |
$196K |
| 20610 |
|
2,158 |
1,693 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
627 |
505 |
$37K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,740 |
2,270 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
406 |
395 |
$30K |
| 73100 |
|
1,387 |
1,004 |
$27K |
| 25600 |
|
130 |
110 |
$25K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
119 |
110 |
$25K |
| 29075 |
|
602 |
443 |
$20K |
| 73560 |
|
897 |
759 |
$20K |
| 73610 |
|
784 |
624 |
$16K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
172 |
149 |
$8K |
| 99024 |
|
5,339 |
4,120 |
$4K |
| 73120 |
|
161 |
114 |
$3K |
| 29065 |
|
76 |
55 |
$3K |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
145 |
112 |
$2K |
| 26750 |
|
13 |
12 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
100 |
85 |
$1K |
| 73140 |
|
33 |
26 |
$831.96 |
| 73020 |
|
51 |
40 |
$632.57 |
| 73070 |
|
33 |
26 |
$581.40 |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
29 |
24 |
$465.44 |
| 73000 |
|
19 |
14 |
$411.73 |
| Q4012 |
Cast supplies, short arm cast, pediatric (0-10 years), fiberglass |
16 |
15 |
$130.88 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
428 |
359 |
$0.01 |