| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
629 |
311 |
$41K |
| 11056 |
|
1,065 |
1,044 |
$25K |
| 11721 |
|
1,473 |
1,436 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
691 |
626 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
568 |
541 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
70 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
66 |
$1K |
| 10061 |
|
32 |
29 |
$1K |
| 73620 |
|
95 |
65 |
$1K |
| 73630 |
|
16 |
12 |
$252.00 |