| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,998 |
1,604 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
210 |
$13K |
| 11721 |
|
636 |
599 |
$11K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
64 |
27 |
$7K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
30 |
15 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
144 |
$4K |
| 11720 |
|
64 |
63 |
$874.77 |
| 73620 |
|
42 |
26 |
$627.76 |