| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
206 |
90 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
562 |
$16K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
140 |
39 |
$6K |
| 11730 |
|
177 |
175 |
$5K |
| 11056 |
|
2,125 |
2,082 |
$4K |
| 11721 |
|
907 |
894 |
$3K |
| 11720 |
|
1,361 |
1,327 |
$2K |
| 11719 |
|
1,263 |
1,199 |
$558.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$168.42 |
| 93923 |
|
12 |
12 |
$135.58 |
| 99347 |
|
36 |
34 |
$70.00 |
| 97597 |
|
27 |
27 |
$62.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
73 |
$38.44 |