| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
537 |
$30K |
| 11721 |
|
1,009 |
989 |
$24K |
| 11056 |
|
326 |
325 |
$15K |
| 11057 |
|
66 |
66 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
74 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
28 |
$2K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
24 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| 99307 |
|
13 |
12 |
$193.58 |