| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
205 |
102 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
600 |
476 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
12 |
$990.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$916.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$583.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$349.00 |
| 73620 |
|
18 |
13 |
$321.61 |