| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
886 |
447 |
$168K |
| 11721 |
|
15,656 |
12,082 |
$142K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,630 |
2,549 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,053 |
3,615 |
$105K |
| 76000 |
|
6,697 |
4,391 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,560 |
3,312 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
973 |
701 |
$56K |
| L4386 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
729 |
534 |
$44K |
| 73630 |
|
2,192 |
1,078 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
933 |
669 |
$29K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
188 |
72 |
$21K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
2,549 |
1,101 |
$20K |
| 93923 |
|
581 |
459 |
$14K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
2,668 |
1,142 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
348 |
213 |
$12K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
29 |
14 |
$7K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
237 |
97 |
$5K |
| L3260 |
Surgical boot/shoe, each |
148 |
98 |
$4K |
| 73620 |
|
177 |
106 |
$3K |
| 87481 |
|
102 |
37 |
$2K |
| 87641 |
|
189 |
72 |
$2K |
| 87799 |
|
102 |
37 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
29 |
13 |
$1K |
| 10060 |
|
19 |
13 |
$876.89 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
13 |
12 |
$492.24 |
| 76970 |
|
87 |
39 |
$396.78 |
| L2840 |
Addition to lower extremity orthosis, tibial length sock, fracture or equal, each |
18 |
15 |
$365.85 |
| 17250 |
|
22 |
13 |
$356.59 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
15 |
$349.17 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
13 |
$303.68 |
| 87640 |
|
30 |
13 |
$303.68 |
| 87500 |
|
30 |
13 |
$273.44 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
18 |
12 |
$237.60 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
34 |
27 |
$135.94 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
49 |
40 |
$90.40 |
| 0598T |
|
290 |
189 |
$0.00 |