| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,863 |
6,363 |
$325K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
4,246 |
4,246 |
$281K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
712 |
359 |
$143K |
| 99442 |
|
2,059 |
2,058 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,783 |
1,727 |
$129K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
970 |
969 |
$93K |
| 11755 |
|
103 |
103 |
$10K |
| 10061 |
|
58 |
53 |
$9K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
140 |
70 |
$6K |
| L3203 |
Orthopedic shoe, oxford with supinator or pronator, junior |
101 |
51 |
$2K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
26 |
13 |
$1K |
| 17110 |
|
13 |
12 |
$1K |
| 11730 |
|
13 |
13 |
$1K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
36 |
18 |
$909.42 |
| 99441 |
|
15 |
15 |
$701.20 |