| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,682 |
5,656 |
$219K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
650 |
341 |
$98K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
880 |
846 |
$48K |
| 73630 |
|
2,117 |
1,663 |
$42K |
| 11721 |
|
3,420 |
3,306 |
$39K |
| 11056 |
|
1,925 |
1,831 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
679 |
$30K |
| 11755 |
|
641 |
320 |
$26K |
| 17110 |
|
348 |
268 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,673 |
1,558 |
$18K |
| 29515 |
|
695 |
350 |
$17K |
| 11057 |
|
832 |
768 |
$17K |
| 11750 |
|
130 |
92 |
$9K |
| 99243 |
|
98 |
94 |
$8K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
25 |
25 |
$5K |
| 20550 |
|
135 |
96 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 73610 |
|
16 |
12 |
$377.31 |
| 99072 |
|
252 |
218 |
$36.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
45 |
41 |
$3.31 |
| A4550 |
Surgical trays |
34 |
29 |
$0.00 |