| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,908 |
4,857 |
$280K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
1,882 |
982 |
$264K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,984 |
1,947 |
$114K |
| 17110 |
|
1,811 |
1,284 |
$110K |
| 73630 |
|
4,178 |
2,524 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
481 |
$37K |
| 11056 |
|
1,108 |
1,076 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
235 |
234 |
$22K |
| 11721 |
|
1,169 |
1,129 |
$19K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
94 |
91 |
$10K |
| 29580 |
|
217 |
184 |
$6K |
| 97760 |
|
179 |
178 |
$5K |
| 29540 |
|
125 |
114 |
$3K |
| 11102 |
|
69 |
66 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
25 |
25 |
$1K |
| 73600 |
|
44 |
41 |
$833.51 |
| 99442 |
|
17 |
17 |
$236.93 |