| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,714 |
14,593 |
$456K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,211 |
580 |
$156K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,738 |
1,672 |
$78K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
824 |
779 |
$26K |
| 99243 |
|
355 |
355 |
$23K |
| 73630 |
|
411 |
309 |
$5K |
| 29540 |
|
220 |
164 |
$4K |
| 11721 |
|
690 |
675 |
$3K |
| 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 |
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$870.98 |
| 93923 |
|
16 |
16 |
$661.73 |
| 11057 |
|
31 |
30 |
$67.76 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
40 |
36 |
$0.00 |
| 11056 |
|
28 |
26 |
$0.00 |
| A4580 |
Cast supplies (e.g., plaster) |
27 |
27 |
$0.00 |