| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,045 |
535 |
$439K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,890 |
1,618 |
$166K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,265 |
2,361 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
271 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
139 |
131 |
$18K |
| 11721 |
|
1,136 |
747 |
$9K |
| 11056 |
|
47 |
43 |
$460.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
12 |
$349.79 |
| 99304 |
|
120 |
40 |
$330.70 |
| 17110 |
|
14 |
12 |
$261.72 |
| 97035 |
|
16 |
13 |
$128.10 |
| 11055 |
|
18 |
14 |
$121.21 |