| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,430 |
1,193 |
$252K |
| 11721 |
|
5,742 |
5,650 |
$145K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,529 |
2,516 |
$129K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
2,346 |
1,177 |
$126K |
| 29581 |
|
2,042 |
1,392 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,975 |
2,935 |
$84K |
| 11056 |
|
2,609 |
2,593 |
$57K |
| L3260 |
Surgical boot/shoe, each |
1,337 |
1,020 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,647 |
1,635 |
$43K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
234 |
225 |
$27K |
| 29540 |
|
703 |
454 |
$13K |
| 99205 |
Prolong outpt/office vis |
57 |
57 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
120 |
120 |
$4K |
| 11720 |
|
118 |
118 |
$2K |
| 99243 |
|
18 |
18 |
$0.00 |