| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
154 |
128 |
$8K |
| 11721 |
|
386 |
363 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
64 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
36 |
32 |
$2K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
14 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$344.96 |
| 11056 |
|
14 |
13 |
$26.58 |