| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,739 |
4,254 |
$105K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
562 |
536 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,297 |
1,243 |
$16K |
| 11721 |
|
1,417 |
1,390 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
398 |
307 |
$7K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
54 |
27 |
$4K |
| 11720 |
|
768 |
717 |
$3K |
| 29540 |
|
31 |
27 |
$536.71 |
| 11056 |
|
66 |
53 |
$251.02 |
| 11719 |
|
58 |
55 |
$96.77 |