| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,643 |
6,339 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,765 |
1,759 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,115 |
1,054 |
$35K |
| 73620 |
|
1,261 |
1,120 |
$21K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
329 |
315 |
$17K |
| 99307 |
|
299 |
292 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
144 |
144 |
$4K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$4K |
| 20600 |
|
189 |
162 |
$4K |
| 11755 |
|
38 |
38 |
$3K |
| 99336 |
|
268 |
265 |
$2K |
| 29581 |
|
45 |
41 |
$2K |
| 29580 |
|
60 |
59 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
320 |
311 |
$2K |
| 99304 |
|
26 |
25 |
$1K |
| 29540 |
|
67 |
66 |
$1K |
| 11305 |
|
42 |
38 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$816.93 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
14 |
14 |
$612.95 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
333 |
324 |
$395.23 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
331 |
322 |
$34.92 |
| 99000 |
|
14 |
14 |
$4.01 |