| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
5,333 |
3,057 |
$814K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,063 |
10,903 |
$627K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
7,163 |
4,045 |
$462K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,280 |
2,246 |
$178K |
| 11730 |
|
2,183 |
1,811 |
$102K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
1,269 |
646 |
$70K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
149 |
127 |
$44K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
478 |
478 |
$30K |
| 10060 |
|
202 |
191 |
$14K |