| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
14,903 |
11,927 |
$309K |
| 11056 |
|
5,150 |
4,111 |
$100K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
1,010 |
$44K |
| 11057 |
|
1,665 |
1,315 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,170 |
952 |
$27K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
96 |
41 |
$19K |
| 11420 |
|
115 |
62 |
$3K |
| 93923 |
|
44 |
29 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
40 |
$2K |