| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,533 |
1,284 |
$60K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
225 |
136 |
$7K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
158 |
40 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$4K |
| 29540 |
|
50 |
44 |
$1K |
| 99072 |
|
427 |
391 |
$0.00 |