| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
588 |
480 |
$36K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
122 |
55 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
214 |
198 |
$23K |
| 99215 |
Prolong outpt/office vis |
127 |
109 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
317 |
259 |
$13K |
| 99205 |
Prolong outpt/office vis |
61 |
61 |
$11K |
| 73630 |
|
451 |
320 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
66 |
63 |
$5K |
| 11721 |
|
89 |
75 |
$1K |