| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,758 |
2,514 |
$178K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
776 |
772 |
$68K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
170 |
131 |
$44K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
57 |
51 |
$7K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
37 |
37 |
$6K |
| 11730 |
|
29 |
26 |
$2K |
| 11721 |
|
39 |
39 |
$479.17 |
| 73630 |
|
15 |
12 |
$338.31 |
| 11056 |
|
15 |
15 |
$205.63 |