| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,090 |
7,129 |
$489K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,502 |
1,388 |
$102K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
399 |
192 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
343 |
267 |
$18K |
| 11720 |
|
1,385 |
1,228 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
59 |
$9K |
| 11719 |
|
1,714 |
1,519 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
57 |
$2K |
| 99358 |
Prolong nursin fac eval 15m |
46 |
45 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
55 |
46 |
$1K |
| 99304 |
|
13 |
12 |
$1K |
| 73620 |
|
24 |
13 |
$354.79 |
| 17110 |
|
54 |
25 |
$339.83 |
| 73630 |
|
14 |
13 |
$309.92 |
| 11056 |
|
24 |
24 |
$294.93 |
| 1124F |
|
36 |
25 |
$293.41 |
| 99072 |
|
263 |
228 |
$0.00 |