| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,874 |
3,225 |
$123K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
573 |
535 |
$25K |
| 11721 |
|
1,452 |
1,183 |
$16K |
| 73630 |
|
911 |
648 |
$14K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
114 |
56 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
43 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
79 |
$2K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
584 |
486 |
$2K |
| 11730 |
|
42 |
37 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
33 |
25 |
$598.42 |
| 20550 |
|
13 |
12 |
$466.88 |
| 97597 |
|
37 |
14 |
$118.42 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
241 |
205 |
$14.70 |
| A4209 |
Syringe with needle, sterile 5 cc or greater, each |
13 |
12 |
$3.24 |
| J3490 |
Unclassified drugs |
74 |
67 |
$0.25 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
19 |
13 |
$0.00 |