| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,711 |
1,100 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
266 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
267 |
267 |
$21K |
| 11755 |
|
141 |
138 |
$9K |
| 11057 |
|
419 |
361 |
$7K |
| 11721 |
|
490 |
487 |
$7K |
| 73650 |
|
216 |
216 |
$6K |
| 73620 |
|
220 |
218 |
$6K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
14 |
13 |
$5K |
| 20550 |
|
176 |
87 |
$5K |
| 99349 |
|
327 |
240 |
$4K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
44 |
41 |
$4K |
| 11100 |
|
62 |
59 |
$3K |
| 11102 |
|
31 |
30 |
$1K |
| 29540 |
|
26 |
13 |
$428.97 |
| 11056 |
|
12 |
12 |
$80.04 |
| 11720 |
|
12 |
12 |
$49.70 |