| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,583 |
4,869 |
$238K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
757 |
707 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
572 |
572 |
$37K |
| 29540 |
|
623 |
451 |
$15K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
116 |
41 |
$14K |
| 73630 |
|
268 |
198 |
$5K |
| 11721 |
|
213 |
168 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
43 |
41 |
$1K |
| 29425 |
|
17 |
12 |
$889.60 |
| 17110 |
|
16 |
14 |
$473.88 |
| 20550 |
|
15 |
13 |
$293.40 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
16 |
15 |
$91.59 |
| 11720 |
|
12 |
12 |
$74.47 |
| 99072 |
|
854 |
741 |
$14.00 |