| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,305 |
1,246 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
637 |
637 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,429 |
1,271 |
$42K |
| 29580 |
|
69 |
49 |
$3K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
12 |
12 |
$2K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
13 |
13 |
$2K |
| 73630 |
|
90 |
67 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 11721 |
|
54 |
54 |
$783.40 |
| 11056 |
|
14 |
14 |
$252.39 |