| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
286 |
144 |
$71K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
409 |
205 |
$67K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
469 |
235 |
$33K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
553 |
279 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
416 |
382 |
$27K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
232 |
116 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
111 |
111 |
$11K |
| 17110 |
|
55 |
54 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 11721 |
|
51 |
50 |
$1K |