| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,410 |
19,351 |
$1.58M |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
5,861 |
3,333 |
$1.08M |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
6,965 |
3,059 |
$190K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,319 |
1,903 |
$118K |
| 29540 |
|
7,953 |
3,560 |
$93K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
1,993 |
1,711 |
$42K |
| Q4040 |
Cast supplies, short leg cast, pediatric (0-10 years), fiberglass |
1,126 |
1,040 |
$15K |
| 11721 |
|
271 |
270 |
$2K |
| 17110 |
|
13 |
12 |
$579.00 |