| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,002 |
3,990 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,898 |
5,416 |
$291K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,058 |
5,598 |
$253K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,917 |
1,913 |
$116K |
| 11056 |
|
2,793 |
2,765 |
$92K |
| 20550 |
|
1,944 |
1,662 |
$78K |
| 11721 |
|
3,528 |
3,505 |
$67K |
| 73620 |
|
2,570 |
2,270 |
$56K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
96 |
95 |
$46K |
| 73630 |
|
1,482 |
1,243 |
$38K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
160 |
81 |
$25K |
| 29540 |
|
1,493 |
1,243 |
$23K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
139 |
126 |
$21K |
| 20600 |
|
449 |
412 |
$15K |
| 11755 |
|
147 |
145 |
$14K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
2,325 |
2,085 |
$11K |
| 11730 |
|
134 |
127 |
$10K |
| 11720 |
|
377 |
376 |
$6K |
| 29580 |
|
122 |
99 |
$5K |
| 11057 |
|
88 |
86 |
$4K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,457 |
2,179 |
$2K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,751 |
2,445 |
$2K |
| 11750 |
|
14 |
12 |
$2K |
| 97597 |
|
75 |
68 |
$2K |
| 73610 |
|
59 |
51 |
$2K |
| 17110 |
|
16 |
13 |
$1K |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
404 |
340 |
$1K |
| 29550 |
|
115 |
105 |
$1K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
27 |
14 |
$769.74 |
| 99307 |
|
32 |
32 |
$672.13 |
| 99304 |
|
43 |
43 |
$544.93 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
129 |
112 |
$479.92 |
| 88312 |
|
15 |
15 |
$353.19 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
16 |
16 |
$252.79 |
| 88313 |
|
15 |
15 |
$76.15 |