| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,234 |
2,934 |
$1.01M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,428 |
2,422 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,761 |
3,609 |
$142K |
| 17110 |
|
1,772 |
1,672 |
$92K |
| 11750 |
|
508 |
463 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,814 |
1,787 |
$40K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
138 |
136 |
$13K |
| 11755 |
|
54 |
54 |
$4K |
| 73620 |
|
23 |
15 |
$244.80 |
| 11721 |
|
12 |
12 |
$222.84 |
| 11056 |
|
24 |
24 |
$170.86 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
116 |
82 |
$0.00 |
| 97760 |
|
138 |
138 |
$0.00 |