| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,441 |
921 |
$630K |
| 99342 |
|
1,211 |
1,123 |
$61K |
| 11721 |
|
2,085 |
1,925 |
$57K |
| 99348 |
|
684 |
630 |
$31K |
| 11056 |
|
436 |
418 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49 |
42 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
31 |
29 |
$2K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
24 |
12 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
18 |
18 |
$0.00 |