| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,866 |
3,218 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,219 |
1,077 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
859 |
799 |
$38K |
| 73630 |
|
2,086 |
1,252 |
$32K |
| 29540 |
|
372 |
233 |
$5K |
| 17110 |
|
88 |
74 |
$4K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
30 |
15 |
$4K |
| 11721 |
|
171 |
140 |
$2K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
23 |
12 |
$2K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
23 |
12 |
$1K |
| 11730 |
|
26 |
25 |
$862.71 |
| 29550 |
|
18 |
15 |
$132.31 |
| 3288F |
|
210 |
189 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
102 |
93 |
$0.00 |
| 1101F |
|
201 |
183 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
12 |
12 |
$0.00 |