| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,613 |
1,496 |
$53K |
| 11056 |
|
1,802 |
1,794 |
$42K |
| 11721 |
|
3,851 |
3,840 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
491 |
$28K |
| 11057 |
|
241 |
239 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
345 |
328 |
$5K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
54 |
27 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
149 |
149 |
$3K |
| 99307 |
|
1,196 |
1,164 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
48 |
24 |
$2K |
| 11730 |
|
24 |
24 |
$1K |