| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 73110 |
|
4,107 |
3,407 |
$102K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,217 |
1,214 |
$99K |
| 73130 |
|
4,222 |
3,518 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,536 |
1,468 |
$90K |
| L3982 |
Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment |
260 |
257 |
$82K |
| 73090 |
|
3,337 |
2,736 |
$66K |
| 73080 |
|
236 |
190 |
$5K |
| L3906 |
Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment |
14 |
14 |
$3K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
366 |
352 |
$3K |
| 20605 |
|
42 |
40 |
$2K |
| 29065 |
|
13 |
13 |
$978.81 |
| 20550 |
|
13 |
12 |
$630.71 |