| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
923 |
631 |
$42K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
247 |
$18K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
62 |
61 |
$14K |
| 73630 |
|
356 |
246 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
32 |
$2K |
| 11755 |
|
29 |
28 |
$2K |
| 20550 |
|
76 |
65 |
$2K |
| 73610 |
|
61 |
44 |
$927.22 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
47 |
45 |
$305.85 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
62 |
59 |
$18.18 |