| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,325 |
1,898 |
$92K |
| 11721 |
|
4,568 |
4,171 |
$72K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
106 |
61 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
947 |
824 |
$26K |
| 11056 |
|
169 |
150 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
65 |
$4K |
| 73630 |
|
174 |
134 |
$4K |
| 97597 |
|
42 |
26 |
$2K |
| 73620 |
|
42 |
24 |
$737.39 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$0.00 |