| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,795 |
1,792 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,032 |
1,020 |
$52K |
| 11730 |
|
837 |
822 |
$44K |
| 73630 |
|
1,476 |
790 |
$32K |
| 11057 |
|
804 |
796 |
$24K |
| 11721 |
|
1,646 |
1,639 |
$21K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
50 |
25 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$5K |
| 17250 |
|
72 |
70 |
$3K |
| 29540 |
|
210 |
114 |
$3K |