| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,110 |
1,383 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,886 |
4,166 |
$119K |
| 73630 |
|
3,665 |
2,092 |
$85K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,339 |
1,118 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
588 |
479 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
491 |
$19K |
| 11721 |
|
1,060 |
964 |
$11K |
| 95851 |
|
925 |
335 |
$7K |
| 11056 |
|
54 |
41 |
$2K |
| 29540 |
|
155 |
122 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$312.00 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
1,224 |
549 |
$0.00 |
| A4550 |
Surgical trays |
15 |
13 |
$0.00 |