| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
5,280 |
2,536 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,213 |
6,213 |
$328K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
5,273 |
2,553 |
$63K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
193 |
180 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
241 |
$12K |
| 95851 |
|
312 |
184 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
66 |
$2K |