| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,505 |
3,088 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,399 |
1,397 |
$129K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,563 |
2,396 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
185 |
185 |
$26K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
234 |
151 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
227 |
$22K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
252 |
169 |
$22K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
567 |
537 |
$11K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
45 |
45 |
$4K |
| 73630 |
|
119 |
103 |
$2K |
| 11721 |
|
143 |
143 |
$2K |
| 73620 |
|
59 |
39 |
$952.81 |