| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,505 |
3,140 |
$174K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
589 |
589 |
$41K |
| 11721 |
|
1,024 |
1,014 |
$15K |
| 73630 |
|
718 |
464 |
$9K |
| 11750 |
|
45 |
38 |
$4K |
| 29540 |
|
295 |
276 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
83 |
$2K |
| 11056 |
|
185 |
180 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$1K |
| 64450 |
|
30 |
30 |
$530.71 |
| 73620 |
|
49 |
26 |
$294.10 |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
12 |
12 |
$111.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$74.05 |
| 11055 |
|
13 |
12 |
$67.00 |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$0.00 |
| 29515 |
|
12 |
12 |
$0.00 |
| L3260 |
Surgical boot/shoe, each |
15 |
12 |
$0.00 |