| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,735 |
2,535 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,453 |
1,452 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,227 |
2,046 |
$84K |
| 11721 |
|
2,226 |
2,219 |
$45K |
| 99304 |
|
175 |
175 |
$6K |
| 11056 |
|
229 |
228 |
$6K |
| 73620 |
|
138 |
85 |
$3K |
| 99307 |
|
87 |
86 |
$1K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
25 |
12 |
$1K |
| 20550 |
|
20 |
13 |
$935.70 |
| 29540 |
|
47 |
31 |
$741.34 |
| 73630 |
|
15 |
12 |
$239.59 |