| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,689 |
9,576 |
$699K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,466 |
3,461 |
$346K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
777 |
655 |
$293K |
| 11750 |
|
1,371 |
1,137 |
$219K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
878 |
878 |
$133K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,295 |
1,247 |
$99K |
| 73630 |
|
2,660 |
2,367 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
308 |
288 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,033 |
1,015 |
$19K |
| 11721 |
|
3,311 |
3,303 |
$12K |
| 20550 |
|
189 |
164 |
$10K |
| 11056 |
|
416 |
411 |
$9K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
106 |
106 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
117 |
117 |
$942.85 |
| 11055 |
|
13 |
13 |
$36.40 |
| 11720 |
|
13 |
13 |
$19.73 |