| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
647 |
298 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,851 |
2,558 |
$70K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
797 |
780 |
$35K |
| 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 |
515 |
253 |
$32K |
| 11721 |
|
2,910 |
2,805 |
$20K |
| 11056 |
|
2,621 |
2,505 |
$16K |
| 11730 |
|
183 |
182 |
$6K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
123 |
55 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
360 |
321 |
$3K |
| 99347 |
|
235 |
227 |
$1K |