| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
2,277 |
1,865 |
$406K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,813 |
2,790 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,671 |
3,325 |
$162K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,773 |
3,568 |
$125K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
820 |
820 |
$36K |
| 73620 |
|
1,087 |
848 |
$21K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
222 |
215 |
$17K |
| 29540 |
|
750 |
549 |
$16K |
| 17110 |
|
151 |
110 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
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 |
16 |
16 |
$2K |
| 73630 |
|
74 |
66 |
$1K |
| L2210 |
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint |
33 |
33 |
$827.24 |
| 11721 |
|
24 |
24 |
$597.81 |