| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,989 |
3,466 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,407 |
1,247 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,223 |
1,106 |
$51K |
| 73630 |
|
2,443 |
1,703 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
784 |
673 |
$33K |
| 11721 |
|
2,648 |
2,446 |
$16K |
| 17110 |
|
392 |
307 |
$14K |
| 73620 |
|
1,456 |
906 |
$13K |
| 11750 |
|
180 |
95 |
$12K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
32 |
13 |
$5K |
| 11306 |
|
50 |
27 |
$1K |
| 64450 |
|
17 |
16 |
$303.28 |
| 73610 |
|
15 |
12 |
$294.00 |
| L3260 |
Surgical boot/shoe, each |
28 |
24 |
$249.00 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
37 |
28 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$0.00 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
58 |
54 |
$0.00 |
| 99024 |
|
134 |
82 |
$0.00 |