| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
597 |
466 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,607 |
4,889 |
$153K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,396 |
3,031 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,538 |
1,401 |
$77K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
734 |
665 |
$69K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
332 |
307 |
$48K |
| 11721 |
|
454 |
430 |
$3K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
13 |
13 |
$2K |
| 76942 |
|
33 |
26 |
$2K |
| 97032 |
|
200 |
64 |
$1K |
| 20550 |
|
54 |
40 |
$1K |
| 99335 |
|
99 |
91 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
313 |
97 |
$872.06 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
236 |
198 |
$295.30 |
| 99336 |
|
12 |
12 |
$251.28 |
| 99347 |
|
16 |
15 |
$69.88 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
71 |
64 |
$25.95 |