| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
604 |
296 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,056 |
3,406 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,587 |
1,529 |
$90K |
| 11750 |
|
335 |
315 |
$44K |
| 73630 |
|
1,429 |
1,242 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
159 |
$11K |
| 97760 |
|
238 |
231 |
$10K |
| 11721 |
|
289 |
281 |
$5K |
| 20550 |
|
97 |
91 |
$5K |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
244 |
147 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
35 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
106 |
88 |
$16.57 |