| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
373 |
161 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
529 |
404 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
660 |
515 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,131 |
785 |
$24K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
353 |
279 |
$17K |
| 11720 |
|
1,571 |
1,213 |
$15K |
| 11721 |
|
338 |
262 |
$4K |
| 11056 |
|
90 |
67 |
$2K |
| 11055 |
|
31 |
25 |
$742.00 |
| 11719 |
|
30 |
13 |
$120.45 |