| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,969 |
1,765 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
587 |
551 |
$22K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
71 |
40 |
$11K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
167 |
117 |
$9K |
| 73630 |
|
177 |
136 |
$3K |
| 11750 |
|
24 |
12 |
$1K |
| 11721 |
|
88 |
88 |
$909.64 |