| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,772 |
2,674 |
$184K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,029 |
1,023 |
$87K |
| 11730 |
|
367 |
358 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
349 |
320 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
121 |
121 |
$8K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
21 |
13 |
$5K |
| 11750 |
|
42 |
38 |
$5K |
| 11056 |
|
12 |
12 |
$829.59 |
| 99307 |
|
50 |
50 |
$341.75 |