| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,450 |
1,206 |
$69K |
| 73620 |
|
288 |
199 |
$7K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
48 |
24 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$3K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
26 |
13 |
$2K |
| 11750 |
|
16 |
16 |
$2K |