| Code | Description | Claims | Beneficiaries | Total Paid |
| 73620 |
|
3,014 |
1,479 |
$35K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
278 |
136 |
$15K |
| 73630 |
|
993 |
501 |
$13K |
| 29540 |
|
689 |
594 |
$13K |
| 73600 |
|
945 |
466 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
370 |
336 |
$11K |
| 17111 |
|
148 |
104 |
$7K |
| 29580 |
|
222 |
163 |
$7K |
| 73610 |
|
458 |
205 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
627 |
500 |
$7K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
627 |
499 |
$5K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
64 |
54 |
$5K |
| 97032 |
|
629 |
502 |
$4K |
| 11721 |
|
142 |
140 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
33 |
$2K |
| 11043 |
|
15 |
13 |
$2K |
| 20550 |
|
18 |
13 |
$561.05 |
| 11730 |
|
15 |
15 |
$406.56 |