| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,495 |
2,086 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
600 |
514 |
$30K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
102 |
47 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,593 |
1,287 |
$20K |
| 73630 |
|
745 |
480 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
111 |
83 |
$5K |
| 11719 |
|
1,195 |
996 |
$2K |
| 11056 |
|
672 |
539 |
$2K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
30 |
13 |
$1K |
| 11057 |
|
101 |
75 |
$730.98 |
| 11720 |
|
844 |
723 |
$618.35 |
| 11055 |
|
107 |
105 |
$46.58 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
93 |
93 |
$0.00 |