| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
792 |
343 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,860 |
1,620 |
$62K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
115 |
51 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$7K |
| 11721 |
|
706 |
676 |
$4K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
30 |
12 |
$2K |
| 11056 |
|
16 |
15 |
$7.58 |