| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
854 |
852 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
583 |
462 |
$47K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
226 |
111 |
$33K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
244 |
120 |
$24K |
| 73630 |
|
205 |
144 |
$6K |
| 11721 |
|
324 |
324 |
$2K |
| 99304 |
|
47 |
47 |
$109.02 |