| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,029 |
1,760 |
$143K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
717 |
711 |
$61K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
1,001 |
760 |
$36K |
| 73630 |
|
590 |
414 |
$15K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
124 |
115 |
$14K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
68 |
50 |
$9K |
| 73610 |
|
179 |
154 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
47 |
45 |
$2K |
| 29405 |
|
14 |
12 |
$711.00 |
| E0114 |
Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
12 |
12 |
$510.07 |