| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,948 |
963 |
$298K |
| 10061 |
|
1,365 |
1,069 |
$185K |
| 11750 |
|
1,159 |
1,019 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,540 |
3,261 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,026 |
1,845 |
$96K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
713 |
353 |
$85K |
| 73620 |
|
4,411 |
2,185 |
$85K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
886 |
854 |
$71K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
927 |
907 |
$51K |
| 29540 |
|
1,820 |
1,562 |
$28K |
| 73630 |
|
1,159 |
786 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
15 |
$382.30 |
| 20550 |
|
36 |
29 |
$320.05 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
37 |
29 |
$32.61 |