| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
435 |
331 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
267 |
208 |
$9K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
55 |
50 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
85 |
74 |
$605.40 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
19 |
12 |
$556.55 |
| 29075 |
|
16 |
12 |
$502.57 |
| 99406 |
|
106 |
68 |
$418.39 |
| Q4010 |
Cast supplies, short arm cast, adult (11 years +), fiberglass |
29 |
15 |
$264.97 |
| 20610 |
|
20 |
13 |
$222.99 |
| 73130 |
|
23 |
14 |
$215.57 |