| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,426 |
695 |
$348K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,650 |
5,102 |
$209K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,255 |
3,080 |
$195K |
| 73630 |
|
5,783 |
4,585 |
$130K |
| 11750 |
|
665 |
456 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
749 |
$45K |
| 11721 |
|
2,976 |
2,911 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
352 |
344 |
$29K |
| 11056 |
|
1,337 |
1,293 |
$23K |
| 17110 |
|
221 |
177 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
209 |
208 |
$3K |
| 97597 |
|
44 |
26 |
$1K |
| 11000 |
|
29 |
26 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
46 |
$426.05 |
| 11720 |
|
15 |
15 |
$363.94 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
12 |
12 |
$27.55 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$1.83 |