| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,212 |
4,107 |
$160K |
| 76942 |
|
1,391 |
1,108 |
$52K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
785 |
369 |
$48K |
| 20550 |
|
1,387 |
1,125 |
$45K |
| 11721 |
|
3,103 |
2,942 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
736 |
692 |
$31K |
| 17110 |
|
331 |
244 |
$16K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
106 |
103 |
$16K |
| 76882 |
|
969 |
766 |
$14K |
| 73630 |
|
857 |
713 |
$12K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
80 |
39 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,347 |
1,092 |
$2K |
| 11750 |
|
17 |
14 |
$1K |
| 99243 |
|
16 |
14 |
$715.34 |