| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
225 |
222 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,568 |
1,357 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
845 |
751 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
366 |
365 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
419 |
399 |
$29K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
366 |
321 |
$4K |
| 73630 |
|
189 |
179 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
120 |
$3K |
| 93923 |
|
42 |
42 |
$3K |
| 97763 |
|
25 |
25 |
$791.90 |
| 11721 |
|
26 |
26 |
$576.65 |
| 93922 |
|
16 |
13 |
$542.74 |