| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,067 |
6,948 |
$348K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,117 |
7,978 |
$227K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
3,733 |
3,724 |
$184K |
| 10061 |
|
1,060 |
1,028 |
$130K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,668 |
1,668 |
$120K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
171 |
147 |
$33K |
| 11750 |
|
299 |
286 |
$27K |
| 10060 |
|
263 |
259 |
$18K |
| 73620 |
|
623 |
566 |
$10K |
| 99050 |
|
210 |
206 |
$2K |
| 28470 |
|
14 |
14 |
$2K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$1K |
| 17110 |
|
13 |
12 |
$906.51 |
| 11720 |
|
45 |
45 |
$562.78 |
| 11719 |
|
46 |
46 |
$177.51 |
| 11721 |
|
12 |
12 |
$149.62 |
| 99334 |
|
16 |
14 |
$72.12 |
| 99307 |
|
13 |
13 |
$63.73 |