| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,812 |
3,486 |
$240K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
753 |
301 |
$107K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
976 |
932 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
444 |
415 |
$43K |
| 73630 |
|
1,570 |
916 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
699 |
652 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
96 |
$16K |
| 11721 |
|
580 |
552 |
$12K |
| 11719 |
|
548 |
529 |
$10K |
| 11750 |
|
15 |
12 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
27 |
13 |
$1K |
| 97597 |
|
18 |
14 |
$967.62 |
| 11720 |
|
507 |
489 |
$159.50 |
| 11056 |
|
74 |
71 |
$0.00 |