| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,869 |
28,144 |
$2.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,664 |
6,413 |
$662K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,730 |
5,723 |
$544K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,853 |
1,850 |
$252K |
| 73630 |
|
2,628 |
2,279 |
$78K |
| 72082 |
|
926 |
923 |
$57K |
| 73610 |
|
1,557 |
1,370 |
$49K |
| 99223 |
Prolong inpt eval add15 m |
212 |
209 |
$29K |
| 73562 |
|
407 |
324 |
$14K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
50 |
50 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
223 |
210 |
$9K |
| 72170 |
|
315 |
311 |
$8K |
| 64483 |
|
82 |
74 |
$8K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
102 |
90 |
$5K |
| 20611 |
|
61 |
59 |
$5K |
| 20610 |
|
84 |
80 |
$5K |
| 72081 |
|
95 |
95 |
$4K |
| 77077 |
|
65 |
64 |
$3K |
| 73100 |
|
81 |
68 |
$2K |
| 99051 |
|
308 |
308 |
$2K |
| 72100 |
|
63 |
63 |
$2K |
| 73564 |
|
47 |
26 |
$2K |
| 73130 |
|
44 |
38 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
272 |
270 |
$688.71 |
| 73502 |
|
12 |
12 |
$473.16 |
| 72080 |
|
14 |
14 |
$397.46 |
| 73110 |
|
12 |
12 |
$392.99 |
| 73090 |
|
14 |
12 |
$332.68 |
| 73120 |
|
12 |
12 |
$312.12 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
14 |
$114.86 |