| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
346 |
144 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,384 |
1,194 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
356 |
295 |
$11K |
| 96001 |
|
156 |
123 |
$4K |
| 11721 |
|
344 |
311 |
$2K |
| 96004 |
|
35 |
31 |
$1K |
| 73630 |
|
79 |
59 |
$915.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$201.94 |