| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,773 |
1,819 |
$67K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,004 |
788 |
$45K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
77 |
29 |
$11K |
| 29580 |
|
524 |
302 |
$10K |
| 73630 |
|
638 |
412 |
$9K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
143 |
40 |
$8K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
75 |
40 |
$7K |
| 20604 |
|
59 |
43 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
235 |
153 |
$1K |
| 73610 |
|
83 |
64 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
379 |
206 |
$110.42 |
| 99072 |
|
49 |
42 |
$2.50 |
| 888888 |
|
46 |
37 |
$0.00 |