| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
832 |
705 |
$30K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
59 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
39 |
$2K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
16 |
14 |
$692.44 |
| 73630 |
|
17 |
12 |
$398.42 |