| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,472 |
1,428 |
$110K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
636 |
317 |
$97K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
495 |
495 |
$65K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
962 |
959 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
759 |
752 |
$58K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
1,052 |
527 |
$34K |
| L3350 |
Heel wedge |
978 |
973 |
$19K |
| L3390 |
Outflare wedge |
237 |
236 |
$11K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
148 |
147 |
$10K |
| L3370 |
Sole wedge, between sole |
181 |
181 |
$7K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
85 |
85 |
$7K |
| L3410 |
Metatarsal bar wedge, between sole |
67 |
67 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
49 |
$2K |
| L3500 |
Orthopedic shoe addition, insole, leather |
185 |
185 |
$2K |
| L3360 |
Sole wedge, outside sole |
28 |
28 |
$835.52 |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
12 |
12 |
$497.94 |
| L3510 |
Orthopedic shoe addition, insole, rubber |
59 |
59 |
$455.15 |