| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
30 |
25 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
83 |
$4K |
| 29540 |
|
27 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
12 |
$660.00 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
32 |
30 |
$157.50 |