| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,472 |
5,653 |
$210K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
215 |
140 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
938 |
834 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
172 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
215 |
173 |
$12K |
| 11721 |
|
1,230 |
1,110 |
$11K |
| 11720 |
|
490 |
460 |
$4K |
| 20550 |
|
20 |
13 |
$432.65 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
16 |
13 |
$1.56 |