| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,620 |
1,480 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
419 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
112 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
62 |
$4K |
| 72110 |
|
165 |
152 |
$4K |
| 20610 |
|
166 |
136 |
$3K |
| 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 |
21 |
18 |
$3K |
| 80305 |
|
291 |
273 |
$2K |
| 95886 |
|
60 |
60 |
$2K |
| L3908 |
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf |
64 |
59 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
319 |
287 |
$1K |
| 73562 |
|
65 |
58 |
$883.14 |
| 72050 |
|
27 |
26 |
$583.73 |
| A4590 |
Special casting material (e.g., fiberglass) |
18 |
13 |
$513.08 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
56 |
55 |
$416.36 |
| 20552 |
|
12 |
12 |
$138.36 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
18 |
12 |
$111.37 |
| 99024 |
|
276 |
239 |
$0.00 |