| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,505 |
1,390 |
$92K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,389 |
$59K |
| 73620 |
|
1,346 |
788 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
267 |
$10K |
| 11056 |
|
373 |
346 |
$8K |
| 73630 |
|
309 |
221 |
$6K |
| 11719 |
|
582 |
562 |
$3K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
19 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
113 |
$2K |
| 17110 |
|
26 |
25 |
$2K |
| 11720 |
|
148 |
148 |
$981.71 |
| 97597 |
|
17 |
12 |
$439.23 |
| 11721 |
|
27 |
26 |
$191.61 |