| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,798 |
1,671 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
915 |
906 |
$37K |
| 11056 |
|
1,932 |
1,910 |
$37K |
| 11721 |
|
2,076 |
2,050 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
74 |
$3K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
28 |
14 |
$3K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
28 |
14 |
$2K |