| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,544 |
7,070 |
$421K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,461 |
2,456 |
$202K |
| 76882 |
|
2,112 |
1,490 |
$86K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
2,268 |
1,147 |
$74K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
627 |
406 |
$46K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
148 |
100 |
$31K |
| 29580 |
|
640 |
577 |
$23K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
479 |
279 |
$20K |
| 29540 |
|
833 |
801 |
$13K |
| 11056 |
|
444 |
435 |
$12K |
| 11721 |
|
515 |
514 |
$9K |
| 76942 |
|
70 |
53 |
$8K |
| 73630 |
|
314 |
223 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
181 |
180 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
41 |
$4K |
| 17110 |
|
32 |
24 |
$2K |
| 11755 |
|
25 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 64450 |
|
30 |
30 |
$1K |
| 20550 |
|
47 |
25 |
$933.65 |
| 73620 |
|
39 |
24 |
$843.73 |
| 17250 |
|
12 |
12 |
$675.24 |
| 29550 |
|
56 |
40 |
$503.86 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
157 |
131 |
$383.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
218 |
179 |
$64.92 |