| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,493 |
1,906 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,530 |
1,919 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
646 |
549 |
$45K |
| 73630 |
|
2,329 |
1,402 |
$29K |
| 29540 |
|
811 |
600 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
388 |
310 |
$18K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
47 |
37 |
$17K |
| 11721 |
|
1,635 |
1,173 |
$8K |
| 11056 |
|
232 |
168 |
$592.09 |