| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
100 |
100 |
$31K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
148 |
148 |
$17K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
37 |
37 |
$6K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
109 |
107 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$39.26 |