| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
186 |
84 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
500 |
$15K |
| 99243 |
|
141 |
130 |
$13K |
| 73630 |
|
495 |
265 |
$10K |
| 11750 |
|
36 |
31 |
$4K |
| 20605 |
|
98 |
74 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
33 |
$955.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
57 |
$768.75 |
| 11721 |
|
16 |
16 |
$576.82 |
| 73660 |
|
18 |
15 |
$383.30 |
| 20550 |
|
14 |
12 |
$281.33 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
13 |
13 |
$0.00 |