| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
282 |
269 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
305 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
64 |
63 |
$11K |
| 73080 |
|
151 |
102 |
$6K |
| 73100 |
|
100 |
78 |
$4K |
| 73090 |
|
92 |
59 |
$3K |
| 73630 |
|
64 |
56 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$2K |
| Q4008 |
Cast supplies, long arm cast, pediatric (0-10 years), fiberglass |
18 |
14 |
$2K |
| 29075 |
|
16 |
12 |
$1K |
| 72170 |
|
12 |
12 |
$308.43 |
| 99024 |
|
601 |
468 |
$0.00 |