| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,643 |
2,041 |
$102K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,204 |
1,025 |
$55K |
| 11730 |
|
1,846 |
1,661 |
$48K |
| 11057 |
|
4,294 |
3,746 |
$41K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
468 |
211 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,020 |
1,668 |
$28K |
| 11732 |
|
1,672 |
1,508 |
$12K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
539 |
425 |
$11K |
| 11755 |
|
368 |
313 |
$8K |
| 73630 |
|
647 |
383 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
215 |
179 |
$5K |
| 11720 |
|
2,496 |
2,229 |
$4K |
| 11721 |
|
541 |
470 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
858 |
752 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
729 |
650 |
$3K |
| 11750 |
|
71 |
60 |
$2K |
| 11719 |
|
2,762 |
2,396 |
$2K |
| 99306 |
Prolong nursin fac eval 15m |
130 |
111 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
162 |
149 |
$1K |
| 11056 |
|
267 |
251 |
$388.19 |
| 99343 |
|
20 |
17 |
$152.99 |
| 1100F |
|
3,552 |
2,662 |
$0.00 |
| 99349 |
|
67 |
45 |
$0.00 |