| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
1,997 |
1,096 |
$187K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,345 |
3,292 |
$163K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
856 |
855 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,234 |
1,081 |
$45K |
| 73630 |
|
738 |
464 |
$19K |
| 11750 |
|
76 |
64 |
$9K |
| 73620 |
|
64 |
32 |
$1K |
| 73660 |
|
46 |
39 |
$917.82 |
| 99347 |
|
118 |
103 |
$218.22 |