| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,163 |
723 |
$116K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
570 |
307 |
$57K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
384 |
245 |
$42K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
101 |
87 |
$28K |
| L3222 |
Orthopedic footwear, mens shoe, hightop, depth inlay, each |
318 |
166 |
$28K |
| L3217 |
Orthopedic footwear, ladies shoe, hightop, depth inlay, each |
290 |
164 |
$22K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
232 |
134 |
$20K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
257 |
151 |
$19K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
236 |
154 |
$11K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
82 |
53 |
$4K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
40 |
18 |
$4K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
23 |
13 |
$2K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
34 |
32 |
$1K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
18 |
14 |
$1K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
18 |
14 |
$1K |
| S8101 |
Holding chamber or spacer for use with an inhaler or nebulizer; with mask |
28 |
28 |
$784.84 |
| A7005 |
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable |
28 |
28 |
$457.80 |