| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
332 |
324 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
673 |
$23K |
| 76000 |
|
155 |
139 |
$2K |
| A6407 |
Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard |
13 |
13 |
$40.27 |
| A6445 |
Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard |
14 |
13 |
$9.07 |