| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
718 |
621 |
$14K |
| 11721 |
|
1,069 |
1,005 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
320 |
278 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
112 |
101 |
$5K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
12 |
12 |
$456.00 |
| 99334 |
|
12 |
12 |
$297.92 |