| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,806 |
1,038 |
$421K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,947 |
1,625 |
$97K |
| 73630 |
|
2,689 |
2,114 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,363 |
996 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,099 |
928 |
$22K |
| 20550 |
|
301 |
238 |
$10K |
| 11056 |
|
86 |
85 |
$3K |
| 11750 |
|
29 |
15 |
$2K |
| L3260 |
Surgical boot/shoe, each |
30 |
17 |
$1K |
| 11721 |
|
57 |
52 |
$869.44 |
| 11720 |
|
13 |
12 |
$168.66 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
237 |
181 |
$74.31 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
16 |
15 |
$0.00 |