| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,837 |
7,426 |
$404K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,100 |
1,023 |
$72K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
214 |
79 |
$45K |
| 73630 |
|
822 |
575 |
$20K |
| 73620 |
|
171 |
115 |
$3K |
| 11750 |
|
15 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$977.73 |
| 11721 |
|
12 |
12 |
$428.58 |
| 99000 |
|
17 |
15 |
$33.75 |