| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
22,184 |
17,310 |
$583K |
| L3000 |
Ft insert ucb berkeley shell |
2,807 |
1,333 |
$315K |
| 99203 |
|
6,304 |
5,560 |
$268K |
| 11721 |
|
17,670 |
14,388 |
$243K |
| 76881 |
|
3,619 |
2,186 |
$187K |
| 11306 |
|
4,865 |
3,820 |
$184K |
| 17110 |
|
3,112 |
2,043 |
$137K |
| E0730 |
Tens four lead |
1,389 |
1,121 |
$120K |
| 29580 |
|
5,218 |
2,719 |
$110K |
| 99214 |
|
3,053 |
2,324 |
$101K |
| 29540 |
|
8,968 |
4,869 |
$97K |
| 99212 |
|
5,295 |
4,087 |
$73K |
| L2275 |
Plastic mod low ext pad/line |
726 |
335 |
$53K |
| 11056 |
|
4,098 |
3,170 |
$51K |
| 99204 |
|
798 |
697 |
$51K |
| 73630 |
|
2,957 |
2,010 |
$47K |
| 97032 |
|
4,108 |
2,677 |
$36K |
| L2820 |
Soft interface below knee se |
804 |
370 |
$36K |
| L3030 |
Foot arch support remov prem |
642 |
266 |
$32K |
| 97035 |
|
4,594 |
2,953 |
$30K |
| 97110 |
|
2,066 |
1,194 |
$28K |
| 11305 |
|
925 |
678 |
$22K |
| 97760 |
|
546 |
497 |
$22K |
| 11730 |
|
893 |
657 |
$20K |
| 97140 |
|
1,715 |
1,310 |
$19K |
| 76942 |
|
410 |
247 |
$13K |
| 29581 |
|
774 |
397 |
$13K |
| A5500 |
Diab shoe for density insert |
251 |
167 |
$12K |
| L1930 |
Afo plastic |
86 |
37 |
$11K |
| L3020 |
Foot longitud/metatarsal sup |
114 |
55 |
$10K |
| A5512 |
Multi den insert direct form |
218 |
141 |
$10K |
| 11720 |
|
3,038 |
2,067 |
$9K |
| L2112 |
Afo tibial fracture soft |
28 |
26 |
$8K |
| 97597 |
|
315 |
244 |
$8K |
| L1906 |
Afo multilig ank sup pre ots |
94 |
64 |
$5K |
| G0127 |
Trim nail(s) |
2,423 |
1,553 |
$5K |
| 76882 |
|
240 |
170 |
$4K |
| L4396 |
Static or dynami afo pre cst |
51 |
24 |
$4K |
| 11057 |
|
170 |
141 |
$3K |
| 99406 |
|
524 |
421 |
$3K |
| 73620 |
|
154 |
78 |
$2K |
| 20550 |
|
103 |
49 |
$2K |
| 11000 |
|
131 |
115 |
$2K |
| 93922 |
|
57 |
51 |
$2K |
| A6212 |
Foam drg <=16 sq in w/border |
29 |
28 |
$2K |
| A4595 |
Tens suppl 2 lead per month |
107 |
68 |
$1K |
| 64450 |
|
80 |
49 |
$1K |
| A6266 |
Impreg gauze no h20/sal/yard |
3,551 |
2,304 |
$1K |
| A4590 |
Special casting material |
75 |
60 |
$1K |
| 11750 |
|
19 |
12 |
$1K |
| 11307 |
|
14 |
14 |
$1K |
| 10061 |
|
13 |
12 |
$808.50 |
| 11042 |
|
20 |
13 |
$759.35 |
| 29799 |
|
106 |
89 |
$745.23 |
| L1902 |
Afo ankle gauntlet pre ots |
14 |
13 |
$575.23 |
| J3301 |
Triamcinolone acet inj nos |
324 |
185 |
$542.04 |
| A4580 |
Cast supplies (plaster) |
208 |
126 |
$456.91 |
| J0702 |
Betamethasone acet&sod phosp |
22 |
12 |
$348.24 |
| 29550 |
|
27 |
24 |
$244.58 |
| J1100 |
Dexamethasone sodium phos |
379 |
222 |
$172.93 |
| 11732 |
|
12 |
12 |
$115.55 |
| A4208 |
3 cc sterile syringe&needle |
797 |
527 |
$97.72 |
| A4649 |
Surgical supplies |
14 |
14 |
$0.22 |
| Q4050 |
Cast supplies unlisted |
91 |
71 |
$0.00 |
| S0395 |
Impression casting ft |
654 |
294 |
$0.00 |
| A4550 |
Surgical trays |
15 |
14 |
$0.00 |