| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
792 |
$37K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
192 |
138 |
$20K |
| 29540 |
|
235 |
144 |
$4K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
48 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
32 |
$2K |
| 11721 |
|
19 |
12 |
$156.60 |