| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
10,703 |
8,895 |
$479K |
| L3010 |
Foot longitudinal arch suppo |
2,385 |
1,244 |
$192K |
| L3410 |
Shoe metatarsal bar between |
4,183 |
2,247 |
$184K |
| 99203 |
|
1,856 |
1,855 |
$125K |
| L3000 |
Ft insert ucb berkeley shell |
405 |
292 |
$91K |
| L3485 |
Shoe heel pad removable for |
4,164 |
2,241 |
$83K |
| 11721 |
|
6,631 |
6,586 |
$75K |
| 76000 |
|
2,162 |
2,072 |
$73K |
| 11730 |
|
2,009 |
1,985 |
$70K |
| 11056 |
|
2,046 |
1,984 |
$48K |
| 11755 |
|
595 |
588 |
$36K |
| L3216 |
Orthoped ladies shoes dpth i |
822 |
489 |
$27K |
| A5500 |
Diab shoe for density insert |
595 |
349 |
$21K |
| A5512 |
Multi den insert direct form |
614 |
342 |
$21K |
| 99212 |
|
1,084 |
932 |
$16K |
| L3060 |
Foot arch supp longitud/meta |
396 |
243 |
$16K |
| 20550 |
|
235 |
209 |
$7K |
| 99072 |
|
623 |
522 |
$7K |
| 29540 |
|
400 |
328 |
$6K |
| L3030 |
Foot arch support remov prem |
43 |
38 |
$3K |
| 11055 |
|
183 |
180 |
$3K |
| 11720 |
|
333 |
331 |
$2K |
| L3219 |
Orthopedic mens shoes oxford |
23 |
18 |
$1K |
| L4396 |
Static or dynami afo pre cst |
14 |
12 |
$1K |
| L3224 |
Woman's shoe oxford brace |
16 |
14 |
$994.92 |
| 73620 |
|
52 |
26 |
$812.44 |
| 20600 |
|
32 |
30 |
$623.03 |
| 99324 |
|
27 |
27 |
$186.08 |
| 11719 |
|
109 |
108 |
$128.93 |
| 97760 |
|
52 |
51 |
$119.02 |
| J1100 |
Dexamethasone sodium phos |
295 |
274 |
$47.90 |