| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,472 |
1,428 |
$110K |
| L3000 |
Ft insert ucb berkeley shell |
636 |
317 |
$97K |
| 99204 |
|
495 |
495 |
$65K |
| L3332 |
Shoe lifts tapered to one-ha |
962 |
959 |
$61K |
| 99214 |
|
759 |
752 |
$58K |
| L3060 |
Foot arch supp longitud/meta |
1,052 |
527 |
$34K |
| L3350 |
Shoe heel wedge |
978 |
973 |
$19K |
| L3390 |
Shoe outflare wedge |
237 |
236 |
$11K |
| L2820 |
Soft interface below knee se |
148 |
147 |
$10K |
| L3370 |
Shoe sole wedge between sole |
181 |
181 |
$7K |
| L2275 |
Plastic mod low ext pad/line |
85 |
85 |
$7K |
| L3410 |
Shoe metatarsal bar between |
67 |
67 |
$6K |
| 99212 |
|
49 |
49 |
$2K |
| L3500 |
Ortho shoe add leather insol |
185 |
185 |
$2K |
| L3360 |
Shoe sole wedge outside sole |
28 |
28 |
$835.52 |
| L2830 |
Soft interface above knee se |
12 |
12 |
$497.94 |
| L3510 |
Orthopedic shoe add rub insl |
59 |
59 |
$455.15 |