| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
521 |
259 |
$323K |
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
355 |
178 |
$117K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
990 |
493 |
$87K |
| 17110 |
|
1,601 |
1,446 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
974 |
957 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,175 |
1,133 |
$72K |
| 17111 |
|
870 |
822 |
$68K |
| L2330 |
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
170 |
85 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
402 |
402 |
$56K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
669 |
333 |
$48K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
132 |
66 |
$34K |
| 11043 |
|
136 |
37 |
$22K |
| 11306 |
|
192 |
179 |
$14K |
| 11755 |
|
148 |
147 |
$13K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
198 |
99 |
$11K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
56 |
29 |
$10K |
| 28190 |
|
52 |
52 |
$8K |
| 11721 |
|
558 |
558 |
$7K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
24 |
12 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
29 |
$2K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
70 |
35 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
30 |
30 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
49 |
49 |
$0.00 |
| 99305 |
|
19 |
19 |
$0.00 |