| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,256 |
3,930 |
$119K |
| 11721 |
|
7,250 |
5,667 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
972 |
797 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,129 |
2,375 |
$45K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
43 |
12 |
$5K |
| 11056 |
|
252 |
216 |
$3K |
| 99307 |
|
207 |
141 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
151 |
115 |
$1K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
12 |
12 |
$561.36 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
38 |
34 |
$431.46 |
| 11720 |
|
48 |
38 |
$423.55 |