| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
1,267 |
1,253 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,206 |
1,069 |
$27K |
| 73630 |
|
1,148 |
638 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
148 |
$10K |
| 11056 |
|
689 |
678 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
114 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
36 |
18 |
$3K |
| 93923 |
|
16 |
16 |
$1K |