| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
3,952 |
3,798 |
$234K |
| 99203 |
|
696 |
696 |
$63K |
| 11721 |
|
1,251 |
1,247 |
$39K |
| 76881 |
|
310 |
239 |
$36K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
147 |
83 |
$30K |
| 77077 |
|
136 |
135 |
$4K |
| 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 |
48 |
25 |
$4K |
| 99212 |
|
96 |
94 |
$3K |
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
30 |
15 |
$3K |
| 99202 |
|
29 |
29 |
$2K |