| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
5,936 |
2,746 |
$291K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
4,489 |
2,023 |
$266K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,568 |
8,152 |
$141K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
1,878 |
865 |
$119K |
| 11721 |
|
12,939 |
12,496 |
$104K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
547 |
273 |
$56K |
| 11730 |
|
2,237 |
2,210 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,156 |
2,030 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
958 |
940 |
$43K |
| 11056 |
|
4,358 |
4,190 |
$35K |
| 17110 |
|
936 |
883 |
$32K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
919 |
914 |
$29K |
| 11765 |
|
795 |
745 |
$26K |
| 20550 |
|
1,450 |
1,261 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
620 |
$22K |
| 29540 |
|
1,860 |
1,456 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
331 |
303 |
$18K |
| 11106 |
|
284 |
258 |
$11K |
| 11720 |
|
1,549 |
1,540 |
$6K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
252 |
126 |
$5K |
| 20605 |
|
385 |
343 |
$5K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
102 |
92 |
$4K |
| 93922 |
|
406 |
389 |
$4K |
| 11719 |
|
1,412 |
1,408 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,601 |
1,258 |
$2K |
| A5510 |
For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe |
25 |
13 |
$893.00 |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
36 |
18 |
$644.04 |
| 93923 |
|
24 |
24 |
$610.69 |
| 10160 |
|
13 |
12 |
$519.79 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,024 |
723 |
$364.28 |
| 11057 |
|
38 |
18 |
$202.53 |
| G0127 |
Trimming of dystrophic nails, any number |
40 |
36 |
$98.48 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$36.22 |
| 99072 |
|
1,001 |
914 |
$20.00 |