| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,502 |
2,662 |
$80K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,499 |
1,269 |
$56K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
209 |
98 |
$40K |
| 11721 |
|
3,822 |
3,184 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
528 |
425 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
206 |
173 |
$14K |
| 11750 |
|
113 |
100 |
$14K |
| 73630 |
|
611 |
393 |
$9K |
| 11056 |
|
302 |
262 |
$3K |
| 11755 |
|
105 |
90 |
$3K |
| 99215 |
Prolong outpt/office vis |
77 |
56 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
112 |
$2K |
| 11055 |
|
256 |
203 |
$2K |
| 11720 |
|
248 |
176 |
$1K |
| 11719 |
|
237 |
165 |
$411.44 |
| 0518F |
|
132 |
60 |
$0.00 |
| A4580 |
Cast supplies (e.g., plaster) |
124 |
94 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
68 |
57 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
65 |
54 |
$0.00 |