| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,095 |
3,094 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,960 |
3,775 |
$151K |
| 11730 |
|
2,488 |
2,398 |
$133K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
921 |
474 |
$74K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,370 |
2,240 |
$62K |
| 17110 |
|
158 |
109 |
$11K |
| 10060 |
|
121 |
121 |
$7K |
| 97750 |
|
353 |
353 |
$6K |
| 29540 |
|
55 |
55 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 73630 |
|
52 |
52 |
$915.42 |
| 29580 |
|
12 |
12 |
$366.98 |
| 11721 |
|
26 |
26 |
$0.00 |
| 11056 |
|
13 |
13 |
$0.00 |