| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,091 |
2,061 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
617 |
616 |
$53K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
485 |
483 |
$27K |
| 11721 |
|
948 |
948 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
268 |
256 |
$17K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
59 |
36 |
$16K |
| 73620 |
|
461 |
304 |
$8K |
| 29540 |
|
90 |
76 |
$2K |
| 17110 |
|
17 |
13 |
$1K |
| 11720 |
|
58 |
58 |
$905.90 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
27 |
26 |
$9.13 |