| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
8,336 |
4,221 |
$2.13M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,209 |
21,277 |
$1.02M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
8,960 |
8,724 |
$527K |
| 73630 |
|
18,919 |
16,116 |
$425K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,466 |
12,840 |
$388K |
| 11721 |
|
14,849 |
14,380 |
$308K |
| 11750 |
|
1,967 |
1,786 |
$222K |
| 11056 |
|
4,697 |
4,519 |
$202K |
| 93925 |
|
1,462 |
1,341 |
$129K |
| 29515 |
|
1,755 |
1,582 |
$109K |
| 93970 |
|
1,744 |
1,590 |
$107K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
405 |
399 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,187 |
1,118 |
$63K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
606 |
367 |
$47K |
| 99243 |
|
573 |
553 |
$47K |
| 20550 |
|
539 |
457 |
$18K |
| 11055 |
|
510 |
475 |
$17K |
| 36475 |
|
22 |
12 |
$13K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
299 |
298 |
$13K |
| 93923 |
|
180 |
156 |
$10K |
| 73600 |
|
447 |
363 |
$10K |
| 11057 |
|
127 |
112 |
$7K |
| 11730 |
|
52 |
50 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
65 |
55 |
$5K |
| 73610 |
|
120 |
102 |
$3K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
33 |
25 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 20605 |
|
41 |
36 |
$1K |
| 93971 |
|
13 |
12 |
$879.30 |
| 11719 |
|
115 |
114 |
$788.95 |
| 99242 |
|
13 |
12 |
$779.88 |
| 11720 |
|
15 |
15 |
$252.92 |
| 73620 |
|
20 |
14 |
$174.38 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
190 |
73 |
$58.66 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
31 |
25 |
$42.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
15 |
$1.17 |
| 99024 |
|
387 |
283 |
$0.05 |
| A4550 |
Surgical trays |
122 |
114 |
$0.00 |