| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,849 |
4,210 |
$113K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
418 |
390 |
$16K |
| 11721 |
|
901 |
847 |
$10K |
| 73630 |
|
605 |
422 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
146 |
$6K |
| 11720 |
|
910 |
866 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
30 |
18 |
$4K |
| 97597 |
|
149 |
88 |
$1K |