| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,503 |
702 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,316 |
4,787 |
$202K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,829 |
1,763 |
$98K |
| L3170 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each |
880 |
404 |
$83K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
427 |
419 |
$20K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
455 |
436 |
$11K |
| 29540 |
|
256 |
217 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
107 |
$5K |
| 11750 |
|
71 |
66 |
$4K |
| 73630 |
|
258 |
208 |
$3K |
| 11721 |
|
363 |
363 |
$2K |
| 11056 |
|
445 |
445 |
$2K |
| 20550 |
|
87 |
66 |
$2K |
| 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 |
28 |
16 |
$1K |
| 11720 |
|
316 |
316 |
$626.81 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
280 |
266 |
$522.71 |
| 11719 |
|
301 |
301 |
$271.17 |