| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
347 |
344 |
$21K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
46 |
23 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
198 |
186 |
$6K |
| 11721 |
|
245 |
242 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
78 |
76 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$4K |
| 73630 |
|
117 |
82 |
$2K |
| 11056 |
|
55 |
54 |
$2K |
| 29540 |
|
16 |
12 |
$270.84 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
74 |
56 |
$48.50 |
| 99072 |
|
120 |
98 |
$6.00 |