| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1971 |
Afo w/ankle joint, prefab |
886 |
447 |
$168K |
| 11721 |
|
15,656 |
12,082 |
$142K |
| 99203 |
|
3,630 |
2,549 |
$129K |
| 99213 |
|
5,053 |
3,615 |
$105K |
| 76000 |
|
6,697 |
4,391 |
$70K |
| 99212 |
|
4,560 |
3,312 |
$61K |
| 99204 |
|
973 |
701 |
$56K |
| L4386 |
Non-pneum walk boot pre cst |
729 |
534 |
$44K |
| 73630 |
|
2,192 |
1,078 |
$32K |
| 99214 |
|
933 |
669 |
$29K |
| 87798 |
|
188 |
72 |
$21K |
| A5512 |
Multi den insert direct form |
2,549 |
1,101 |
$20K |
| 93923 |
|
581 |
459 |
$14K |
| A5500 |
Diab shoe for density insert |
2,668 |
1,142 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
348 |
213 |
$12K |
| L3000 |
Ft insert ucb berkeley shell |
29 |
14 |
$7K |
| L2820 |
Soft interface below knee se |
237 |
97 |
$5K |
| L3260 |
Ambulatory surgical boot eac |
148 |
98 |
$4K |
| 73620 |
|
177 |
106 |
$3K |
| 87481 |
|
102 |
37 |
$2K |
| 87641 |
|
189 |
72 |
$2K |
| 87799 |
|
102 |
37 |
$1K |
| 87801 |
|
29 |
13 |
$1K |
| 10060 |
|
19 |
13 |
$876.89 |
| 99232 |
|
13 |
12 |
$492.24 |
| 76970 |
|
87 |
39 |
$396.78 |
| L2840 |
Tibial length sock fx or equ |
18 |
15 |
$365.85 |
| 17250 |
|
22 |
13 |
$356.59 |
| 99202 |
|
17 |
15 |
$349.17 |
| 87651 |
|
30 |
13 |
$303.68 |
| 87640 |
|
30 |
13 |
$303.68 |
| 87500 |
|
30 |
13 |
$273.44 |
| 11042 |
|
18 |
12 |
$237.60 |
| L1902 |
Afo ankle gauntlet pre ots |
34 |
27 |
$135.94 |
| G2211 |
Complex e/m visit add on |
49 |
40 |
$90.40 |
| 0598T |
|
290 |
189 |
$0.00 |