| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,167 |
1,091 |
$47K |
| 11721 |
|
3,025 |
2,988 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
674 |
663 |
$38K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,203 |
1,145 |
$37K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
200 |
100 |
$21K |
| 11056 |
|
892 |
873 |
$9K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
26 |
13 |
$3K |
| 11720 |
|
562 |
550 |
$2K |
| 20550 |
|
20 |
14 |
$350.32 |