| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Ft insert ucb berkeley shell |
5,461 |
2,928 |
$1.34M |
| 99213 |
|
23,854 |
20,288 |
$922K |
| 99203 |
|
8,262 |
7,532 |
$505K |
| 99214 |
|
5,220 |
4,242 |
$316K |
| L3216 |
Orthoped ladies shoes dpth i |
2,251 |
1,141 |
$261K |
| 11720 |
|
21,446 |
18,771 |
$225K |
| 99212 |
|
7,369 |
6,686 |
$185K |
| 20550 |
|
4,682 |
2,898 |
$139K |
| 11750 |
|
1,753 |
1,083 |
$136K |
| 99204 |
|
1,362 |
1,166 |
$128K |
| 87798 |
|
482 |
439 |
$110K |
| 11721 |
|
6,922 |
6,023 |
$99K |
| L3221 |
Orthopedic mens shoes dpth i |
842 |
384 |
$93K |
| 11730 |
|
1,261 |
1,119 |
$82K |
| 36465 |
|
189 |
129 |
$81K |
| 73630 |
|
4,030 |
2,879 |
$77K |
| 99202 |
|
1,857 |
1,701 |
$76K |
| 87150 |
|
327 |
291 |
$71K |
| A5500 |
Diab shoe for density insert |
1,440 |
627 |
$71K |
| 97597 |
|
961 |
572 |
$54K |
| 73620 |
|
2,446 |
1,774 |
$53K |
| A5512 |
Multi den insert direct form |
958 |
393 |
$52K |
| 11056 |
|
1,534 |
1,214 |
$51K |
| Q4101 |
Apligraf |
96 |
12 |
$50K |
| 17110 |
|
682 |
492 |
$44K |
| J1100 |
Dexamethasone sodium phos |
4,305 |
3,560 |
$35K |
| L4360 |
Pneumat walking boot pre cst |
140 |
126 |
$31K |
| 87801 |
|
232 |
221 |
$31K |
| J1030 |
Methylprednisolone 40 mg inj |
1,820 |
1,661 |
$29K |
| 15275 |
|
583 |
160 |
$25K |
| 87481 |
|
570 |
522 |
$23K |
| 93970 |
|
274 |
251 |
$22K |
| L1902 |
Afo ankle gauntlet pre ots |
385 |
262 |
$22K |
| 11719 |
|
2,162 |
1,602 |
$13K |
| 99223 |
Prolong inpt eval add15 m |
93 |
72 |
$9K |
| 73610 |
|
395 |
312 |
$8K |
| 11055 |
|
248 |
198 |
$7K |
| J3420 |
Vitamin b12 injection |
131 |
117 |
$4K |
| G9458 |
Tob user recd cess interv |
307 |
290 |
$3K |
| J3301 |
Triamcinolone acet inj nos |
1,424 |
984 |
$3K |
| 87081 |
|
320 |
284 |
$2K |
| A5514 |
Mult den insert dir carv/cam |
35 |
15 |
$2K |
| 99232 |
|
22 |
12 |
$639.08 |
| J1020 |
Methylprednisolone 20 mg inj |
19 |
12 |
$77.34 |
| J1010 |
Inj, methylpred acetate 1 mg |
25 |
12 |
$71.18 |
| G0127 |
Trim nail(s) |
98 |
55 |
$28.87 |