| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,348 |
3,114 |
$169K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,703 |
1,691 |
$127K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,972 |
2,636 |
$99K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,313 |
661 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
413 |
411 |
$48K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
445 |
222 |
$39K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
238 |
132 |
$37K |
| 73630 |
|
1,545 |
1,154 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
295 |
$24K |
| 29580 |
|
735 |
499 |
$23K |
| 11721 |
|
882 |
842 |
$12K |
| 29540 |
|
575 |
400 |
$11K |
| 17110 |
|
135 |
108 |
$8K |
| 11755 |
|
57 |
53 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
41 |
41 |
$3K |
| 11056 |
|
124 |
121 |
$3K |
| 20550 |
|
60 |
49 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
188 |
176 |
$343.21 |
| 99304 |
|
35 |
35 |
$74.53 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
60 |
56 |
$9.42 |