| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,199 |
3,163 |
$146K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
265 |
263 |
$85K |
| 11730 |
|
982 |
977 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
188 |
$16K |
| 93922 |
|
110 |
110 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
137 |
135 |
$4K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
13 |
13 |
$2K |
| 11721 |
|
32 |
32 |
$570.53 |