| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
605 |
368 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,470 |
2,156 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
450 |
436 |
$25K |
| 73630 |
|
1,212 |
988 |
$24K |
| 11721 |
|
339 |
330 |
$8K |
| 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 |
19 |
12 |
$2K |
| 11056 |
|
25 |
25 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
28 |
$699.56 |
| 99072 |
|
17 |
16 |
$0.00 |