| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,560 |
3,314 |
$231K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
471 |
361 |
$222K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
852 |
662 |
$67K |
| 73620 |
|
2,664 |
1,653 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
109 |
$19K |
| 11721 |
|
1,561 |
1,086 |
$17K |
| 11056 |
|
107 |
69 |
$3K |
| 20550 |
|
18 |
12 |
$574.50 |
| 97597 |
|
27 |
14 |
$360.40 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
161 |
126 |
$201.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
91 |
75 |
$16.13 |