| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,005 |
929 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
412 |
$32K |
| 73620 |
|
1,114 |
808 |
$22K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
358 |
357 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
228 |
$13K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
86 |
42 |
$13K |
| 93923 |
|
45 |
45 |
$2K |
| 11056 |
|
86 |
86 |
$2K |
| 93922 |
|
30 |
30 |
$758.70 |
| 20550 |
|
15 |
12 |
$593.85 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
200 |
191 |
$289.38 |
| 11719 |
|
83 |
82 |
$177.66 |