| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,054 |
5,791 |
$339K |
| 11056 |
|
4,595 |
4,579 |
$187K |
| 11721 |
|
5,461 |
5,450 |
$185K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
518 |
518 |
$44K |
| 73600 |
|
1,356 |
749 |
$23K |
| 73620 |
|
1,334 |
741 |
$21K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
99 |
50 |
$13K |
| 29580 |
|
174 |
128 |
$8K |
| 97032 |
|
279 |
270 |
$5K |
| 93922 |
|
283 |
283 |
$5K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
13 |
13 |
$3K |
| 11755 |
|
43 |
43 |
$3K |
| 97035 |
|
155 |
151 |
$2K |
| G8991 |
Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting |
12 |
12 |
$0.00 |
| G8990 |
Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals |
12 |
12 |
$0.00 |