| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,509 |
702 |
$346K |
| 99213 |
|
5,175 |
4,424 |
$299K |
| 99203 |
|
844 |
821 |
$61K |
| 73620 |
|
2,208 |
1,497 |
$46K |
| 99214 |
|
462 |
411 |
$38K |
| 73630 |
|
1,378 |
774 |
$32K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
146 |
104 |
$17K |
| 99204 |
|
138 |
121 |
$15K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
37 |
37 |
$9K |
| 20605 |
|
240 |
209 |
$9K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
102 |
49 |
$7K |
| 99212 |
|
82 |
73 |
$3K |
| 99232 |
|
94 |
40 |
$2K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
28 |
14 |
$2K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
14 |
14 |
$2K |
| 11721 |
|
76 |
74 |
$1K |
| 99221 |
|
14 |
14 |
$413.54 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
16 |
13 |
$26.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
12 |
$2.91 |
| 97760 |
|
17 |
16 |
$0.00 |