| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
3,555 |
$50K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
439 |
221 |
$30K |
| 28890 |
|
57 |
26 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
173 |
166 |
$6K |
| 73630 |
|
866 |
601 |
$4K |
| 99245 |
|
156 |
154 |
$2K |
| 76881 |
|
214 |
186 |
$1K |
| 20550 |
|
150 |
103 |
$1K |
| 11721 |
|
26 |
26 |
$336.94 |
| 3078F |
|
255 |
235 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 3074F |
|
278 |
259 |
$0.00 |
| 29540 |
|
74 |
58 |
$0.00 |