| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
372 |
357 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
544 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
120 |
$16K |
| A4590 |
Special casting material (e.g., fiberglass) |
391 |
315 |
$10K |
| 99243 |
|
83 |
79 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
83 |
$7K |
| 73521 |
|
52 |
50 |
$1K |
| 72082 |
|
28 |
28 |
$1K |
| 73110 |
|
43 |
41 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$904.65 |
| 73090 |
|
35 |
27 |
$697.71 |
| 73630 |
|
20 |
14 |
$455.60 |
| 73130 |
|
17 |
14 |
$423.16 |
| 73610 |
|
15 |
12 |
$364.80 |
| 99024 |
|
44 |
40 |
$0.00 |