| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,777 |
6,347 |
$436K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,030 |
2,026 |
$197K |
| 73620 |
|
919 |
537 |
$17K |
| 11721 |
|
577 |
574 |
$16K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
27 |
16 |
$5K |
| 73630 |
|
148 |
96 |
$3K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
44 |
38 |
$3K |
| 11730 |
|
26 |
25 |
$3K |
| L3170 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each |
50 |
38 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |