| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,518 |
1,251 |
$417K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
1,371 |
1,234 |
$172K |
| L3219 |
Orthopedic footwear, mens shoe, oxford, each |
240 |
219 |
$21K |
| L3410 |
Metatarsal bar wedge, between sole |
173 |
159 |
$16K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
210 |
182 |
$15K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
228 |
218 |
$10K |
| L3203 |
Orthopedic shoe, oxford with supinator or pronator, junior |
198 |
198 |
$9K |
| L3370 |
Sole wedge, between sole |
59 |
56 |
$3K |