| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
62 |
29 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
235 |
$8K |
| 11721 |
|
649 |
600 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
68 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$658.74 |
| 11720 |
|
31 |
27 |
$378.22 |