| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,287 |
4,234 |
$373K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,088 |
3,088 |
$362K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,228 |
1,203 |
$68K |
| 17110 |
|
487 |
398 |
$58K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
132 |
66 |
$28K |
| 73630 |
|
641 |
607 |
$18K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
55 |
28 |
$7K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$2K |