| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,465 |
2,205 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
998 |
976 |
$62K |
| 11721 |
|
1,680 |
1,670 |
$33K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
50 |
25 |
$16K |
| 76942 |
|
135 |
63 |
$4K |
| 76882 |
|
183 |
70 |
$3K |
| 11056 |
|
102 |
101 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
64 |
56 |
$331.18 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
79 |
69 |
$229.75 |