| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,422 |
2,050 |
$87K |
| 11056 |
|
1,997 |
1,823 |
$14K |
| 11720 |
|
1,592 |
1,437 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
105 |
103 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
236 |
221 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
86 |
$4K |
| 11721 |
|
208 |
200 |
$2K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
13 |
13 |
$914.07 |
| 73620 |
|
72 |
41 |
$608.01 |
| 76882 |
|
18 |
13 |
$336.87 |