| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,164 |
5,771 |
$199K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
665 |
308 |
$108K |
| 29540 |
|
3,527 |
3,145 |
$99K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,595 |
1,552 |
$78K |
| 11056 |
|
4,409 |
4,122 |
$48K |
| 11721 |
|
4,556 |
4,056 |
$44K |
| 20550 |
|
1,777 |
1,675 |
$40K |
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
380 |
183 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
487 |
483 |
$10K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
144 |
78 |
$6K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
62 |
61 |
$5K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
58 |
28 |
$5K |
| 93923 |
|
104 |
98 |
$4K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,895 |
1,706 |
$2K |
| L3480 |
Heel, pad and depression for spur |
24 |
12 |
$557.32 |