| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,693 |
1,990 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
425 |
403 |
$20K |
| 11721 |
|
2,051 |
1,972 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
591 |
499 |
$13K |
| 11056 |
|
613 |
576 |
$3K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
25 |
15 |
$3K |
| 11720 |
|
298 |
281 |
$1K |
| 11719 |
|
496 |
470 |
$855.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
13 |
$609.57 |
| 73630 |
|
24 |
12 |
$208.18 |