| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,135 |
1,894 |
$214K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
484 |
465 |
$147K |
| 17110 |
|
1,097 |
990 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
38 |
$6K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
289 |
270 |
$4K |
| 73630 |
|
348 |
326 |
$196.22 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
13 |
$39.29 |
| 17250 |
|
56 |
56 |
$0.00 |
| 11750 |
|
15 |
12 |
$0.00 |