| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,282 |
2,692 |
$95K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
451 |
203 |
$65K |
| 99347 |
|
1,151 |
1,119 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
199 |
$8K |
| 11721 |
|
848 |
839 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
216 |
212 |
$2K |