| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,321 |
9,591 |
$895K |
| 29540 |
|
10,261 |
2,103 |
$158K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
948 |
444 |
$109K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
1,119 |
516 |
$77K |
| 73630 |
|
6,705 |
3,283 |
$73K |
| 73610 |
|
6,584 |
3,225 |
$73K |
| 93923 |
|
1,651 |
1,567 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,396 |
1,356 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,584 |
546 |
$56K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
1,328 |
647 |
$43K |
| 11755 |
|
1,239 |
812 |
$27K |
| 29550 |
|
1,001 |
367 |
$20K |
| 11306 |
|
1,482 |
1,159 |
$20K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
386 |
180 |
$20K |
| 97124 |
|
1,986 |
356 |
$15K |
| 97032 |
|
2,177 |
402 |
$11K |
| L3260 |
Surgical boot/shoe, each |
114 |
101 |
$8K |
| 11305 |
|
1,062 |
834 |
$8K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
301 |
146 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
102 |
102 |
$5K |
| 11721 |
|
437 |
422 |
$4K |
| 97026 |
|
1,494 |
249 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
115 |
114 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
40 |
36 |
$1K |
| L3031 |
Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each |
34 |
17 |
$990.00 |
| 11056 |
|
28 |
26 |
$345.00 |
| 11730 |
|
13 |
12 |
$305.70 |
| 20600 |
|
13 |
12 |
$211.04 |