| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
16,984 |
7,067 |
$3.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,416 |
33,439 |
$1.74M |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
10,095 |
7,711 |
$709K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,669 |
10,259 |
$679K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21,134 |
20,062 |
$586K |
| 11721 |
|
15,604 |
14,353 |
$133K |
| 11056 |
|
7,498 |
6,798 |
$115K |
| 73630 |
|
3,447 |
2,175 |
$67K |
| 11720 |
|
7,435 |
6,844 |
$43K |
| 29540 |
|
1,535 |
1,161 |
$33K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
202 |
100 |
$14K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
167 |
101 |
$9K |
| 11719 |
|
5,298 |
4,791 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
100 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
53 |
$6K |
| 17110 |
|
43 |
39 |
$3K |
| A4580 |
Cast supplies (e.g., plaster) |
1,530 |
1,407 |
$3K |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
279 |
232 |
$2K |
| 95923 |
|
307 |
286 |
$2K |
| 73620 |
|
99 |
62 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
53 |
39 |
$2K |
| 11057 |
|
355 |
349 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
25 |
24 |
$1K |
| 88312 |
|
375 |
350 |
$645.60 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
204 |
188 |
$387.42 |
| G0127 |
Trimming of dystrophic nails, any number |
67 |
66 |
$361.22 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
126 |
126 |
$140.28 |
| 99072 |
|
2,190 |
2,060 |
$75.00 |