| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,163 |
4,233 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
562 |
518 |
$31K |
| 11721 |
|
2,459 |
2,240 |
$16K |
| 11056 |
|
1,027 |
922 |
$14K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
46 |
39 |
$7K |
| 73630 |
|
277 |
197 |
$5K |
| 17250 |
|
39 |
14 |
$714.98 |
| L3050 |
Foot, arch support, removable, premolded, metatarsal, each |
15 |
13 |
$650.39 |
| 11720 |
|
117 |
109 |
$582.99 |
| 11719 |
|
117 |
109 |
$191.72 |