| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,439 |
1,431 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,854 |
1,623 |
$74K |
| 11055 |
|
6,034 |
5,967 |
$51K |
| 10061 |
|
544 |
519 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,506 |
2,093 |
$43K |
| 11043 |
|
383 |
283 |
$36K |
| 11721 |
|
1,740 |
1,691 |
$33K |
| 11720 |
|
5,028 |
5,003 |
$23K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
123 |
61 |
$21K |
| 11730 |
|
544 |
527 |
$18K |
| 11426 |
|
68 |
55 |
$11K |
| 20550 |
|
309 |
221 |
$9K |
| 99347 |
|
561 |
546 |
$5K |
| 11719 |
|
4,756 |
4,728 |
$4K |
| 10140 |
|
45 |
43 |
$3K |
| 11750 |
|
16 |
13 |
$631.83 |
| 11765 |
|
20 |
16 |
$417.06 |
| J3303 |
Injection, triamcinolone hexacetonide, per 5 mg |
207 |
146 |
$275.79 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
121 |
87 |
$171.00 |
| 11056 |
|
33 |
33 |
$153.09 |
| 99072 |
|
44 |
27 |
$0.00 |