| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
13,740 |
12,500 |
$124K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,681 |
4,744 |
$123K |
| 11720 |
|
9,231 |
8,509 |
$52K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
229 |
217 |
$6K |
| 29540 |
|
372 |
313 |
$6K |
| 73630 |
|
295 |
218 |
$4K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
54 |
27 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
64 |
52 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
88 |
$3K |
| 99305 |
|
166 |
149 |
$3K |
| 99307 |
|
297 |
269 |
$2K |
| 99304 |
|
143 |
119 |
$1K |
| 73610 |
|
36 |
27 |
$490.78 |
| 97022 |
|
18 |
16 |
$106.50 |
| 99024 |
|
49 |
24 |
$0.00 |