| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
76 |
38 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
468 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
427 |
400 |
$9K |
| 11721 |
|
575 |
564 |
$9K |
| 99305 |
|
94 |
85 |
$4K |
| 11056 |
|
147 |
142 |
$2K |
| 99349 |
|
129 |
129 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
58 |
56 |
$698.19 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
80 |
80 |
$444.99 |
| 11720 |
|
31 |
26 |
$267.59 |
| 11055 |
|
12 |
12 |
$26.18 |