| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,597 |
3,362 |
$242K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
728 |
724 |
$73K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,559 |
1,419 |
$53K |
| 11721 |
|
1,748 |
1,733 |
$52K |
| 11056 |
|
898 |
886 |
$44K |
| 29540 |
|
2,318 |
1,640 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
318 |
302 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
192 |
$30K |
| 73620 |
|
1,179 |
710 |
$24K |
| 99497 |
|
284 |
277 |
$17K |
| 11755 |
|
162 |
152 |
$17K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
42 |
32 |
$15K |
| 73630 |
|
155 |
126 |
$7K |
| 29515 |
|
84 |
76 |
$5K |
| 97750 |
|
13 |
13 |
$128.35 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
28 |
$53.09 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
31 |
28 |
$3.89 |
| 96001 |
|
12 |
12 |
$0.00 |