| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,999 |
1,474 |
$75K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
426 |
180 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
368 |
348 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
640 |
476 |
$18K |
| 29540 |
|
914 |
440 |
$14K |
| 76882 |
|
525 |
282 |
$9K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
140 |
77 |
$6K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
423 |
197 |
$4K |
| 73620 |
|
164 |
102 |
$2K |
| 11721 |
|
115 |
107 |
$1K |
| 73630 |
|
22 |
15 |
$312.87 |