| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
963 |
781 |
$69K |
| 11056 |
|
1,320 |
1,068 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
142 |
$14K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
60 |
26 |
$12K |
| 11721 |
|
730 |
590 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
558 |
444 |
$5K |
| 11720 |
|
367 |
313 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121 |
93 |
$2K |
| 99304 |
|
92 |
72 |
$1K |
| 11719 |
|
354 |
300 |
$831.86 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
28 |
13 |
$640.00 |