| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,141 |
7,180 |
$236K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,501 |
1,146 |
$62K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
307 |
72 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
184 |
151 |
$6K |
| 73630 |
|
222 |
138 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
27 |
$697.32 |
| 73620 |
|
20 |
14 |
$302.93 |
| 11721 |
|
93 |
79 |
$288.48 |
| 11056 |
|
20 |
20 |
$36.48 |