| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
628 |
335 |
$98K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
470 |
470 |
$41K |
| 76942 |
|
214 |
126 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,575 |
1,362 |
$22K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
318 |
159 |
$19K |
| 73620 |
|
280 |
211 |
$6K |
| 29540 |
|
259 |
179 |
$6K |
| 20550 |
|
81 |
56 |
$3K |
| 73630 |
|
111 |
81 |
$3K |
| 11056 |
|
64 |
64 |
$3K |
| 11721 |
|
63 |
63 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$435.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
69 |
59 |
$9.85 |