| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
5,112 |
4,607 |
$100K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
563 |
520 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,531 |
1,308 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
788 |
$25K |
| 11720 |
|
403 |
366 |
$6K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
18 |
12 |
$3K |
| 73630 |
|
194 |
121 |
$3K |
| 11750 |
|
16 |
12 |
$2K |
| 73620 |
|
74 |
49 |
$1K |