| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,628 |
2,363 |
$149K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
540 |
540 |
$46K |
| 73620 |
|
458 |
370 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
104 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
127 |
70 |
$5K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
54 |
27 |
$2K |