| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,253 |
1,087 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
180 |
180 |
$13K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
45 |
27 |
$12K |
| 11721 |
|
261 |
260 |
$7K |
| 99215 |
Prolong outpt/office vis |
105 |
91 |
$6K |
| 99205 |
Prolong outpt/office vis |
68 |
68 |
$5K |
| 11056 |
|
209 |
209 |
$5K |
| 20550 |
|
37 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
28 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
32 |
$136.86 |