| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
2,230 |
2,189 |
$100K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
104 |
62 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
977 |
797 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
314 |
301 |
$13K |
| 73630 |
|
130 |
82 |
$3K |
| 11056 |
|
82 |
82 |
$3K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
23 |
13 |
$2K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
21 |
13 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$598.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
12 |
$40.04 |