| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,667 |
14,174 |
$310K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,574 |
2,500 |
$114K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
336 |
147 |
$42K |
| 11721 |
|
4,077 |
3,951 |
$24K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
2,680 |
2,361 |
$20K |
| 99307 |
|
338 |
327 |
$2K |
| 99304 |
|
112 |
109 |
$1K |
| 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 |
22 |
15 |
$1K |
| 73620 |
|
23 |
13 |
$230.01 |
| 20550 |
|
15 |
14 |
$182.20 |
| 11055 |
|
96 |
94 |
$153.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
77 |
69 |
$69.02 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
33 |
30 |
$36.57 |
| 11720 |
|
13 |
13 |
$9.05 |