| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,198 |
556 |
$269K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,191 |
2,663 |
$139K |
| 73630 |
|
2,591 |
2,029 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
669 |
576 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
361 |
335 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
143 |
141 |
$10K |
| 11755 |
|
57 |
52 |
$4K |
| 11721 |
|
286 |
276 |
$3K |
| 11750 |
|
24 |
13 |
$2K |
| 11720 |
|
134 |
130 |
$2K |
| G0127 |
Trimming of dystrophic nails, any number |
105 |
100 |
$681.00 |
| 11719 |
|
28 |
27 |
$64.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
161 |
108 |
$29.41 |