| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
279 |
140 |
$33K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
198 |
101 |
$29K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
248 |
123 |
$17K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
234 |
117 |
$15K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
310 |
154 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
95 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
108 |
$8K |
| 17110 |
|
32 |
26 |
$2K |
| 11721 |
|
33 |
31 |
$541.96 |
| 11057 |
|
14 |
14 |
$402.12 |