| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
787 |
727 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
432 |
398 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
307 |
$21K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
99 |
39 |
$18K |
| 73630 |
|
249 |
185 |
$5K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
107 |
54 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
117 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 11721 |
|
73 |
66 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
60 |
50 |
$42.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
48 |
38 |
$8.63 |