| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,781 |
2,407 |
$143K |
| L3010 |
Foot longitudinal arch suppo |
751 |
399 |
$63K |
| 99212 |
|
903 |
835 |
$28K |
| L3410 |
Shoe metatarsal bar between |
442 |
288 |
$26K |
| 76000 |
|
436 |
418 |
$21K |
| 99203 |
|
250 |
250 |
$19K |
| 11721 |
|
788 |
777 |
$19K |
| L3060 |
Foot arch supp longitud/meta |
298 |
199 |
$14K |
| 11730 |
|
286 |
278 |
$14K |
| L3000 |
Ft insert ucb berkeley shell |
44 |
41 |
$11K |
| L3485 |
Shoe heel pad removable for |
459 |
295 |
$11K |
| 29540 |
|
187 |
144 |
$3K |
| L3030 |
Foot arch support remov prem |
36 |
32 |
$3K |
| 11755 |
|
41 |
40 |
$2K |
| 99072 |
|
153 |
132 |
$2K |
| L3216 |
Orthoped ladies shoes dpth i |
77 |
39 |
$2K |
| 73620 |
|
77 |
39 |
$1K |
| 11056 |
|
40 |
37 |
$1K |
| L4396 |
Static or dynami afo pre cst |
13 |
12 |
$948.64 |
| A5500 |
Diab shoe for density insert |
27 |
14 |
$444.00 |
| A5512 |
Multi den insert direct form |
27 |
14 |
$270.00 |
| 97760 |
|
15 |
15 |
$50.00 |