| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
775 |
402 |
$95K |
| L2330 |
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
504 |
221 |
$75K |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
189 |
79 |
$51K |
| L2280 |
Addition to lower extremity, molded inner boot |
249 |
95 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,598 |
1,362 |
$40K |
| 29540 |
|
3,138 |
1,188 |
$40K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
431 |
184 |
$14K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
249 |
95 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
350 |
204 |
$12K |
| 11730 |
|
497 |
302 |
$10K |
| 97035 |
|
1,143 |
704 |
$9K |
| 17110 |
|
96 |
45 |
$5K |
| 73630 |
|
332 |
153 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
25 |
$2K |
| 11732 |
|
260 |
162 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$776.88 |
| 97116 |
|
55 |
50 |
$463.75 |
| 95831 |
|
28 |
15 |
$215.18 |
| 95851 |
|
28 |
15 |
$151.76 |