| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
323 |
171 |
$53K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,044 |
909 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,217 |
1,080 |
$31K |
| 73630 |
|
1,150 |
849 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
336 |
267 |
$11K |
| 11721 |
|
700 |
649 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
191 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
57 |
53 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$2K |
| 73610 |
|
12 |
12 |
$397.95 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
66 |
39 |
$250.00 |