| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
546 |
453 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
841 |
761 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
459 |
459 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
860 |
775 |
$28K |
| 29540 |
|
1,214 |
792 |
$25K |
| 20550 |
|
135 |
85 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
78 |
58 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$4K |
| 11721 |
|
116 |
116 |
$3K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
81 |
54 |
$2K |
| 11057 |
|
26 |
26 |
$1K |
| 99443 |
|
30 |
30 |
$1K |
| 93922 |
|
12 |
12 |
$1K |
| 11056 |
|
13 |
13 |
$479.27 |