| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3030 |
Foot, insert, removable, formed to patient foot, each |
3,662 |
1,743 |
$185K |
| 73620 |
|
12,164 |
5,969 |
$136K |
| 29540 |
|
3,707 |
3,329 |
$71K |
| 73600 |
|
6,060 |
3,075 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,422 |
2,206 |
$65K |
| 73630 |
|
4,296 |
2,365 |
$49K |
| 29580 |
|
1,385 |
1,107 |
$39K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
394 |
206 |
$30K |
| 11721 |
|
2,146 |
2,016 |
$30K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,999 |
2,486 |
$29K |
| 11750 |
|
514 |
501 |
$28K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
2,994 |
2,485 |
$23K |
| 73610 |
|
1,674 |
885 |
$19K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
71 |
68 |
$18K |
| 97032 |
|
2,844 |
2,351 |
$16K |
| 11043 |
|
148 |
126 |
$12K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
402 |
308 |
$12K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
114 |
54 |
$11K |
| 17111 |
|
271 |
215 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
202 |
189 |
$9K |
| 97161 |
|
116 |
108 |
$4K |
| 20550 |
|
122 |
104 |
$3K |
| 11730 |
|
76 |
66 |
$2K |
| 11755 |
|
37 |
35 |
$2K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
13 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
104 |
102 |
$1K |