| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,367 |
2,213 |
$133K |
| 11730 |
|
1,066 |
992 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
495 |
495 |
$40K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
230 |
126 |
$39K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
104 |
52 |
$10K |
| 11732 |
|
438 |
437 |
$10K |
| 11424 |
|
45 |
43 |
$7K |
| 11423 |
|
50 |
50 |
$6K |
| 11721 |
|
172 |
172 |
$4K |
| 17110 |
|
46 |
40 |
$2K |
| 73630 |
|
51 |
36 |
$1K |
| 11308 |
|
13 |
13 |
$1K |
| 11755 |
|
15 |
14 |
$1K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
29 |
15 |
$570.00 |
| 29540 |
|
28 |
28 |
$250.63 |
| 2028F |
|
13 |
12 |
$0.00 |