| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,932 |
13,165 |
$625K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,509 |
1,781 |
$583K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,606 |
2,381 |
$154K |
| 11721 |
|
6,681 |
6,524 |
$151K |
| 17110 |
|
1,776 |
1,613 |
$133K |
| 73630 |
|
6,097 |
4,820 |
$100K |
| 29515 |
|
2,315 |
1,529 |
$77K |
| 11056 |
|
1,247 |
1,196 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
657 |
635 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
807 |
761 |
$15K |
| 99243 |
|
139 |
135 |
$12K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
37 |
36 |
$9K |
| 11057 |
|
146 |
142 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
83 |
82 |
$7K |
| 11755 |
|
138 |
68 |
$6K |
| 99072 |
|
203 |
195 |
$0.00 |
| A4550 |
Surgical trays |
15 |
15 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
12 |
12 |
$0.00 |