| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
36,134 |
30,826 |
$934K |
| L3000 |
Ft insert ucb berkeley shell |
6,249 |
3,110 |
$818K |
| 99203 |
|
11,085 |
10,191 |
$648K |
| 11721 |
|
39,119 |
34,137 |
$461K |
| 99214 |
|
10,930 |
9,330 |
$420K |
| 99204 |
|
4,213 |
3,702 |
$313K |
| A5500 |
Diab shoe for density insert |
9,205 |
5,118 |
$295K |
| L4361 |
Pneuma/vac walk boot pre ots |
1,071 |
1,022 |
$221K |
| 73630 |
|
9,486 |
8,009 |
$192K |
| A5513 |
Multi den insert custom mold |
2,089 |
1,196 |
$187K |
| L1902 |
Afo ankle gauntlet pre ots |
3,601 |
2,496 |
$183K |
| L2330 |
Lacer molded to patient mode |
836 |
519 |
$150K |
| A5512 |
Multi den insert direct form |
2,968 |
1,877 |
$126K |
| 20550 |
|
2,602 |
2,132 |
$121K |
| L4397 |
Static or dynami afo pre ots |
812 |
789 |
$108K |
| 11042 |
|
4,887 |
3,060 |
$94K |
| 11056 |
|
8,896 |
7,371 |
$67K |
| 17110 |
|
3,190 |
2,459 |
$63K |
| 97110 |
|
2,506 |
688 |
$50K |
| A5514 |
Mult den insert dir carv/cam |
1,405 |
722 |
$46K |
| 11750 |
|
598 |
471 |
$44K |
| L1970 |
Afo plastic molded w/ankle j |
75 |
48 |
$29K |
| L2820 |
Soft interface below knee se |
683 |
453 |
$27K |
| L1940 |
Afo molded to patient plasti |
93 |
57 |
$22K |
| 99215 |
Prolong outpt/office vis |
168 |
147 |
$11K |
| 20600 |
|
517 |
364 |
$10K |
| 97140 |
|
1,243 |
401 |
$10K |
| 93923 |
|
228 |
215 |
$10K |
| 99212 |
|
367 |
314 |
$7K |
| 20610 |
|
140 |
120 |
$6K |
| K0903 |
Mult den insert dir carv/cam |
44 |
44 |
$5K |
| 99202 |
|
127 |
117 |
$5K |
| 87798 |
|
86 |
76 |
$3K |
| 73610 |
|
82 |
80 |
$3K |
| J1100 |
Dexamethasone sodium phos |
6,657 |
5,392 |
$3K |
| 87801 |
|
97 |
75 |
$2K |
| 11730 |
|
78 |
69 |
$2K |
| L3020 |
Foot longitud/metatarsal sup |
18 |
13 |
$2K |
| 99205 |
Prolong outpt/office vis |
15 |
14 |
$2K |
| J3301 |
Triamcinolone acet inj nos |
2,524 |
2,149 |
$2K |
| 97162 |
|
55 |
50 |
$2K |
| L2275 |
Plastic mod low ext pad/line |
16 |
12 |
$1K |
| 11055 |
|
212 |
188 |
$1K |
| 87481 |
|
94 |
74 |
$1K |
| 73650 |
|
42 |
38 |
$1K |
| A6212 |
Foam drg <=16 sq in w/border |
217 |
195 |
$929.98 |
| 97112 |
|
66 |
56 |
$542.68 |
| J1030 |
Methylprednisolone 40 mg inj |
83 |
71 |
$395.03 |
| A6010 |
Collagen based wound filler |
14 |
13 |
$247.22 |
| 20605 |
|
19 |
15 |
$244.96 |
| 73560 |
|
13 |
12 |
$240.14 |
| A6545 |
Grad com non-elastic bk surg |
227 |
118 |
$231.96 |
| 17250 |
|
62 |
39 |
$162.44 |
| J1040 |
Methylprednisolone 80 mg inj |
15 |
14 |
$154.04 |
| 11720 |
|
23 |
18 |
$74.24 |
| 11719 |
|
41 |
24 |
$62.19 |
| G0127 |
Trim nail(s) |
24 |
19 |
$10.73 |
| 1100F |
|
231 |
213 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
27 |
26 |
$0.00 |
| A6219 |
Gauze <= 16 sq in w/border |
27 |
25 |
$0.00 |