| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,649 |
1,286 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
386 |
344 |
$16K |
| 11721 |
|
1,754 |
1,496 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
405 |
350 |
$9K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
108 |
48 |
$9K |
| 11750 |
|
73 |
54 |
$5K |
| 73620 |
|
415 |
317 |
$5K |
| 73630 |
|
371 |
307 |
$4K |
| 29540 |
|
61 |
47 |
$871.49 |
| 10060 |
|
22 |
13 |
$338.54 |