| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
6,848 |
6,548 |
$1.10M |
| L1960 |
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated |
559 |
478 |
$939K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
562 |
477 |
$78K |
| L1830 |
Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf |
164 |
128 |
$25K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
578 |
295 |
$23K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
148 |
119 |
$16K |
| 64642 |
|
12 |
12 |
$13K |
| E2609 |
Custom fabricated wheelchair seat cushion, any size |
15 |
13 |
$13K |
| E2617 |
Custom fabricated wheelchair back cushion, any size, including any type mounting hardware |
15 |
13 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
229 |
$10K |
| 72082 |
|
150 |
145 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
87 |
86 |
$5K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
17 |
12 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
159 |
$4K |
| 76770 |
|
57 |
56 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
86 |
85 |
$3K |
| L4002 |
Replacement strap, any orthosis, includes all components, any length, any type |
12 |
12 |
$2K |
| E0960 |
Wheelchair accessory, shoulder harness/straps or chest strap, including any type mounting hardware |
15 |
13 |
$576.76 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
56 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
87 |
77 |
$0.00 |
| 95873 |
|
13 |
12 |
$0.00 |