| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
15,572 |
14,991 |
$1.44M |
| 99213 |
|
17,315 |
15,661 |
$1.06M |
| 99214 |
|
8,154 |
7,643 |
$790K |
| L2280 |
Molded inner boot |
1,248 |
721 |
$660K |
| L2275 |
Plastic mod low ext pad/line |
1,705 |
1,023 |
$252K |
| 99204 |
|
1,370 |
1,302 |
$211K |
| L2820 |
Soft interface below knee se |
1,054 |
635 |
$109K |
| 76000 |
|
2,159 |
2,009 |
$107K |
| 72170 |
|
3,617 |
3,314 |
$95K |
| 73100 |
|
2,802 |
2,251 |
$90K |
| 72080 |
|
2,364 |
2,195 |
$88K |
| 99243 |
|
813 |
785 |
$83K |
| 25600 |
|
307 |
297 |
$78K |
| 73610 |
|
2,285 |
1,975 |
$75K |
| L1970 |
Afo plastic molded w/ankle j |
105 |
62 |
$75K |
| L1960 |
Afo pos solid ank plastic mo |
98 |
60 |
$70K |
| 73630 |
|
1,945 |
1,659 |
$66K |
| 77073 |
|
1,672 |
1,565 |
$64K |
| 73130 |
|
1,954 |
1,656 |
$61K |
| 73090 |
|
1,825 |
1,323 |
$56K |
| 73080 |
|
1,581 |
1,259 |
$53K |
| 73564 |
|
1,013 |
932 |
$49K |
| 99215 |
Prolong outpt/office vis |
354 |
337 |
$47K |
| L4360 |
Pneumat walking boot pre cst |
152 |
150 |
$44K |
| Q4008 |
Cast sup long arm ped fbrgls |
397 |
304 |
$40K |
| Q4010 |
Cast sup sht arm adult fbrgl |
204 |
180 |
$27K |
| 25500 |
|
56 |
55 |
$18K |
| 72081 |
|
347 |
330 |
$13K |
| Q4012 |
Cast sup sht arm ped fbrglas |
141 |
126 |
$10K |
| 73560 |
|
224 |
216 |
$8K |
| 73120 |
|
264 |
247 |
$8K |
| L2200 |
Limited ankle motion ea jnt |
105 |
60 |
$6K |
| 99244 |
|
44 |
43 |
$5K |
| 97112 |
|
129 |
41 |
$4K |
| 97110 |
|
129 |
41 |
$4K |
| 73620 |
|
102 |
90 |
$3K |
| 29425 |
|
30 |
25 |
$3K |
| 73070 |
|
96 |
85 |
$3K |
| 29075 |
|
47 |
44 |
$3K |
| L2210 |
Dorsiflexion assist each joi |
20 |
13 |
$3K |
| 27786 |
|
16 |
14 |
$2K |
| A4590 |
Special casting material |
26 |
18 |
$2K |
| 73590 |
|
72 |
62 |
$2K |
| 24650 |
|
12 |
12 |
$2K |
| L1810 |
Ko elastic with joints |
12 |
12 |
$2K |
| 99202 |
|
15 |
15 |
$1K |
| 73552 |
|
26 |
24 |
$858.47 |
| 99212 |
|
17 |
13 |
$482.95 |
| 73000 |
|
13 |
12 |
$345.95 |
| 99024 |
|
17,926 |
15,631 |
$0.00 |