| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,760 |
2,350 |
$194K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
859 |
824 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
78 |
$11K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
35 |
13 |
$3K |
| 73630 |
|
96 |
78 |
$2K |
| 11721 |
|
13 |
12 |
$374.62 |