| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
220 |
97 |
$31K |
| 11721 |
|
1,441 |
1,356 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
566 |
496 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
300 |
260 |
$14K |
| 73630 |
|
494 |
353 |
$9K |
| 11056 |
|
672 |
639 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
331 |
295 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$658.95 |
| G8404 |
Lower extremity neurological exam performed and documented |
38 |
36 |
$0.00 |