| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,039 |
1,001 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
664 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
824 |
739 |
$17K |
| 11721 |
|
838 |
764 |
$9K |
| 11720 |
|
1,113 |
1,027 |
$7K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
53 |
25 |
$6K |
| 73630 |
|
269 |
239 |
$4K |
| 11750 |
|
55 |
53 |
$4K |
| 20550 |
|
15 |
12 |
$386.65 |
| 73620 |
|
25 |
14 |
$353.19 |
| 11719 |
|
135 |
114 |
$260.81 |
| 11056 |
|
13 |
12 |
$89.42 |
| G0127 |
Trimming of dystrophic nails, any number |
14 |
14 |
$19.10 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
72 |
52 |
$7.65 |
| 99072 |
|
24 |
20 |
$0.00 |