| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Ft insert ucb berkeley shell |
3,545 |
1,726 |
$940K |
| 99213 |
|
7,966 |
7,035 |
$328K |
| 73630 |
|
6,941 |
5,204 |
$124K |
| 99214 |
|
1,910 |
1,661 |
$118K |
| L4397 |
Static or dynami afo pre ots |
703 |
356 |
$77K |
| Q4038 |
Cast sup shrt leg fiberglass |
1,762 |
1,326 |
$66K |
| 11721 |
|
4,643 |
4,476 |
$65K |
| 76942 |
|
1,504 |
1,046 |
$45K |
| 99203 |
|
819 |
744 |
$41K |
| 11057 |
|
1,563 |
1,464 |
$39K |
| 20550 |
|
1,357 |
728 |
$39K |
| 11056 |
|
806 |
703 |
$17K |
| 73610 |
|
1,067 |
904 |
$16K |
| 20604 |
|
222 |
203 |
$14K |
| 29540 |
|
1,116 |
1,021 |
$14K |
| A5500 |
Diab shoe for density insert |
252 |
134 |
$13K |
| A5512 |
Multi den insert direct form |
243 |
119 |
$11K |
| 73620 |
|
950 |
798 |
$11K |
| L1902 |
Afo ankle gauntlet pre ots |
147 |
77 |
$8K |
| 20600 |
|
246 |
223 |
$7K |
| L2330 |
Lacer molded to patient mode |
57 |
26 |
$6K |
| L4361 |
Pneuma/vac walk boot pre ots |
24 |
24 |
$6K |
| L1906 |
Afo multilig ank sup pre ots |
42 |
25 |
$6K |
| 99215 |
Prolong outpt/office vis |
68 |
53 |
$6K |
| 93922 |
|
126 |
119 |
$5K |
| 76882 |
|
86 |
75 |
$3K |
| 99204 |
|
27 |
27 |
$3K |
| 20605 |
|
65 |
52 |
$2K |
| L2820 |
Soft interface below knee se |
48 |
24 |
$2K |
| 64640 |
|
99 |
67 |
$2K |
| 11750 |
|
12 |
12 |
$2K |
| 99212 |
|
73 |
68 |
$2K |
| 95923 |
|
27 |
25 |
$1K |
| J1100 |
Dexamethasone sodium phos |
517 |
415 |
$49.05 |
| J3301 |
Triamcinolone acet inj nos |
16 |
12 |
$30.51 |