| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,493 |
1,235 |
$42K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
330 |
330 |
$21K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
92 |
46 |
$19K |
| 11721 |
|
561 |
558 |
$10K |
| 11056 |
|
352 |
343 |
$6K |
| 11755 |
|
14 |
14 |
$648.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
63 |
$458.72 |