| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Ft insert ucb berkeley shell |
27,916 |
14,059 |
$7.99M |
| 99213 |
|
30,690 |
26,349 |
$1.58M |
| 99203 |
|
6,344 |
6,094 |
$519K |
| L4360 |
Pneumat walking boot pre cst |
1,401 |
1,350 |
$221K |
| 73630 |
|
8,606 |
6,382 |
$98K |
| A4550 |
Surgical trays |
1,833 |
1,221 |
$84K |
| 99214 |
|
1,027 |
948 |
$82K |
| 73718 |
|
221 |
206 |
$80K |
| Q4038 |
Cast sup shrt leg fiberglass |
250 |
161 |
$60K |
| 73721 |
|
131 |
124 |
$32K |
| L4396 |
Static or dynami afo pre cst |
136 |
120 |
$22K |
| 11750 |
|
180 |
151 |
$15K |
| 99204 |
|
86 |
84 |
$10K |
| 11042 |
|
203 |
115 |
$6K |
| L1902 |
Afo ankle gauntlet pre ots |
107 |
104 |
$5K |
| L4210 |
Orth dev repair/repl minor p |
156 |
124 |
$5K |
| 29425 |
|
88 |
54 |
$3K |
| J1030 |
Methylprednisolone 40 mg inj |
156 |
146 |
$2K |
| L3060 |
Foot arch supp longitud/meta |
17 |
13 |
$1K |
| 20550 |
|
51 |
50 |
$1K |
| 11721 |
|
126 |
94 |
$1K |
| 11056 |
|
152 |
115 |
$745.90 |
| A5500 |
Diab shoe for density insert |
93 |
68 |
$535.38 |
| 99212 |
|
14 |
13 |
$346.36 |
| 29700 |
|
30 |
26 |
$218.99 |
| 73620 |
|
23 |
15 |
$172.40 |
| J1020 |
Methylprednisolone 20 mg inj |
26 |
26 |
$156.22 |
| J3301 |
Triamcinolone acet inj nos |
13 |
12 |
$15.63 |
| J1100 |
Dexamethasone sodium phos |
14 |
13 |
$1.80 |
| J1010 |
Inj, methylpred acetate 1 mg |
14 |
14 |
$1.64 |