| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,008 |
7,767 |
$549K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,729 |
3,726 |
$342K |
| 73630 |
|
4,159 |
2,688 |
$116K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
404 |
202 |
$76K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
531 |
490 |
$68K |
| 20550 |
|
428 |
366 |
$26K |
| 11750 |
|
166 |
149 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
395 |
381 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
176 |
176 |
$13K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
686 |
617 |
$7K |
| 11721 |
|
218 |
216 |
$5K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
530 |
450 |
$3K |
| 17110 |
|
18 |
12 |
$1K |
| 73610 |
|
17 |
14 |
$494.31 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
80 |
77 |
$94.20 |