| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3010 |
Foot longitudinal arch suppo |
1,256 |
667 |
$186K |
| 99213 |
|
3,202 |
3,131 |
$181K |
| 99203 |
|
1,526 |
1,523 |
$130K |
| A5500 |
Diab shoe for density insert |
2,312 |
1,307 |
$82K |
| 99212 |
|
1,253 |
1,223 |
$46K |
| L3000 |
Ft insert ucb berkeley shell |
77 |
76 |
$42K |
| A5513 |
Multi den insert custom mold |
904 |
511 |
$37K |
| L3216 |
Orthoped ladies shoes dpth i |
524 |
307 |
$26K |
| L3030 |
Foot arch support remov prem |
90 |
55 |
$6K |
| A5512 |
Multi den insert direct form |
178 |
89 |
$5K |
| 11721 |
|
157 |
155 |
$4K |
| L3221 |
Orthopedic mens shoes dpth i |
55 |
39 |
$4K |
| 20550 |
|
35 |
32 |
$1K |
| J3301 |
Triamcinolone acet inj nos |
192 |
171 |
$264.95 |
| J1100 |
Dexamethasone sodium phos |
202 |
178 |
$19.94 |
| J2001 |
Lidocaine injection |
289 |
252 |
$0.92 |