| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
768 |
583 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,798 |
3,494 |
$212K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,973 |
1,290 |
$84K |
| 73630 |
|
229 |
175 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
24 |
$967.41 |