| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,037 |
3,311 |
$109K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
999 |
873 |
$76K |
| 11721 |
|
833 |
801 |
$25K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
92 |
46 |
$21K |
| 11056 |
|
476 |
459 |
$11K |
| 99334 |
|
722 |
722 |
$5K |
| 11720 |
|
300 |
293 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$596.23 |