| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11750 |
|
1,250 |
685 |
$88K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
632 |
282 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,315 |
1,083 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,078 |
923 |
$25K |
| 28285 |
|
81 |
66 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
249 |
201 |
$17K |
| 28296 |
|
19 |
12 |
$7K |
| 28299 |
|
14 |
14 |
$6K |
| 28122 |
|
12 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
60 |
54 |
$2K |
| 11765 |
|
39 |
20 |
$1K |
| 73630 |
|
45 |
45 |
$997.37 |
| 11057 |
|
12 |
12 |
$723.28 |
| 11721 |
|
34 |
34 |
$549.83 |