| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,527 |
3,488 |
$290K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,471 |
2,470 |
$273K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,207 |
2,168 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
534 |
534 |
$42K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
189 |
94 |
$33K |
| 73630 |
|
395 |
365 |
$13K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
26 |
13 |
$7K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
48 |
25 |
$7K |
| 11721 |
|
68 |
68 |
$1K |