| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,916 |
1,385 |
$46K |
| 11721 |
|
1,723 |
1,719 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
377 |
375 |
$25K |
| 11056 |
|
1,497 |
1,493 |
$22K |
| 29581 |
|
418 |
171 |
$20K |
| 73630 |
|
981 |
358 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
446 |
407 |
$12K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$8K |
| 29515 |
|
24 |
12 |
$2K |
| 93925 |
|
62 |
57 |
$2K |
| 73650 |
|
195 |
76 |
$2K |
| 73660 |
|
135 |
59 |
$988.95 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
28 |
25 |
$202.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
28 |
25 |
$87.29 |