| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,691 |
5,596 |
$179K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,739 |
1,739 |
$93K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,687 |
1,687 |
$80K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,015 |
3,006 |
$75K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
563 |
282 |
$44K |
| L3222 |
Orthopedic footwear, mens shoe, hightop, depth inlay, each |
40 |
20 |
$2K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
24 |
12 |
$787.26 |