| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,007 |
8,586 |
$606K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,374 |
1,356 |
$113K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
454 |
183 |
$74K |
| 73630 |
|
117 |
100 |
$3K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
163 |
163 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
63 |
$2K |
| 11730 |
|
15 |
12 |
$2K |