| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,758 |
6,190 |
$491K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,191 |
$145K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
195 |
$30K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
80 |
40 |
$19K |
| 73630 |
|
545 |
383 |
$18K |
| 11721 |
|
2,107 |
2,107 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
100 |
100 |
$10K |
| 99335 |
|
72 |
72 |
$2K |
| 11720 |
|
564 |
564 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
123 |
122 |
$669.23 |
| 11719 |
|
555 |
555 |
$336.77 |
| 99348 |
|
27 |
27 |
$156.68 |
| 11056 |
|
12 |
12 |
$91.97 |
| 99072 |
|
378 |
337 |
$0.00 |