| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,343 |
2,051 |
$98K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
541 |
259 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
385 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
427 |
426 |
$25K |
| 73630 |
|
1,443 |
813 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
175 |
173 |
$14K |
| 20550 |
|
142 |
106 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$895.98 |
| 11721 |
|
166 |
165 |
$776.36 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
75 |
67 |
$487.00 |
| 29515 |
|
15 |
12 |
$413.33 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
30 |
18 |
$63.93 |