| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,447 |
2,224 |
$82K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
456 |
224 |
$69K |
| 99203 |
|
694 |
674 |
$38K |
| 10061 |
|
86 |
77 |
$13K |
| 99212 |
|
466 |
457 |
$11K |
| 73620 |
|
394 |
215 |
$8K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
192 |
95 |
$7K |
| 73630 |
|
258 |
150 |
$6K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
24 |
12 |
$1K |
| 11721 |
|
12 |
12 |
$344.80 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
92 |
83 |
$0.00 |
| A4580 |
Cast supplies (e.g., plaster) |
453 |
222 |
$0.00 |