| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,932 |
3,979 |
$330K |
| Q4244 |
Procenta, per 200 mg |
167 |
77 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,882 |
3,020 |
$57K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
140 |
120 |
$57K |
| 20550 |
|
1,668 |
1,220 |
$34K |
| 17111 |
|
1,128 |
1,061 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
53 |
$7K |
| 29580 |
|
351 |
246 |
$6K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,054 |
527 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
55 |
$4K |
| 11750 |
|
51 |
38 |
$3K |
| 11730 |
|
322 |
284 |
$3K |
| 73630 |
|
214 |
82 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
36 |
$688.55 |