| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,658 |
2,406 |
$117K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
782 |
780 |
$45K |
| 73630 |
|
548 |
411 |
$10K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
19 |
12 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
25 |
$2K |
| 73620 |
|
22 |
16 |
$394.56 |
| 11721 |
|
14 |
14 |
$302.98 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
12 |
$90.31 |
| 99072 |
|
160 |
135 |
$18.00 |