| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,616 |
6,150 |
$268K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,399 |
962 |
$244K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,665 |
1,438 |
$77K |
| 73630 |
|
1,160 |
687 |
$14K |
| A4590 |
Special casting material (e.g., fiberglass) |
2,875 |
866 |
$9K |
| Q4037 |
Cast supplies, short leg cast, adult (11 years +), plaster |
98 |
42 |
$1K |
| 11721 |
|
116 |
115 |
$533.39 |