| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,764 |
4,188 |
$136K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
518 |
501 |
$29K |
| 11721 |
|
1,081 |
1,063 |
$11K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
23 |
12 |
$3K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
108 |
54 |
$3K |
| 29799 |
|
26 |
13 |
$429.00 |
| 99072 |
|
395 |
341 |
$0.00 |