| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
651 |
501 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
163 |
$7K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
61 |
28 |
$2K |
| 11721 |
|
53 |
51 |
$987.09 |
| 73630 |
|
51 |
44 |
$873.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$331.24 |