| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,438 |
1,232 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
356 |
347 |
$28K |
| 73630 |
|
432 |
356 |
$9K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
76 |
57 |
$3K |
| 73610 |
|
97 |
81 |
$2K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$2K |
| 11721 |
|
28 |
27 |
$193.72 |