| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
398 |
161 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
749 |
640 |
$52K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
202 |
98 |
$28K |
| 11765 |
|
214 |
183 |
$16K |
| 73630 |
|
298 |
259 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$5K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
74 |
36 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
13 |
$201.26 |