| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,222 |
6,123 |
$394K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
2,285 |
1,145 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,250 |
1,250 |
$112K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,501 |
1,350 |
$59K |
| 11750 |
|
233 |
200 |
$27K |
| 73630 |
|
1,149 |
713 |
$27K |