| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Afo plastic molded w/ankle j |
521 |
259 |
$323K |
| L3002 |
Foot insert plastazote or eq |
355 |
178 |
$117K |
| L2275 |
Plastic mod low ext pad/line |
990 |
493 |
$87K |
| 17110 |
|
1,601 |
1,446 |
$84K |
| 99214 |
|
974 |
957 |
$81K |
| 99213 |
|
1,175 |
1,133 |
$72K |
| 17111 |
|
870 |
822 |
$68K |
| L2330 |
Lacer molded to patient mode |
170 |
85 |
$57K |
| 99204 |
|
402 |
402 |
$56K |
| L2820 |
Soft interface below knee se |
669 |
333 |
$48K |
| L3000 |
Ft insert ucb berkeley shell |
132 |
66 |
$34K |
| 11043 |
|
136 |
37 |
$22K |
| 11306 |
|
192 |
179 |
$14K |
| 11755 |
|
148 |
147 |
$13K |
| L3332 |
Shoe lifts tapered to one-ha |
198 |
99 |
$11K |
| L3001 |
Foot insert remov molded spe |
56 |
29 |
$10K |
| 28190 |
|
52 |
52 |
$8K |
| 11721 |
|
558 |
558 |
$7K |
| L3010 |
Foot longitudinal arch suppo |
24 |
12 |
$3K |
| 99203 |
|
29 |
29 |
$2K |
| L3216 |
Orthoped ladies shoes dpth i |
70 |
35 |
$2K |
| 99308 |
|
30 |
30 |
$0.00 |
| 99309 |
|
49 |
49 |
$0.00 |
| 99305 |
|
19 |
19 |
$0.00 |