| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,746 |
7,815 |
$316K |
| 99214 |
|
5,870 |
5,060 |
$280K |
| L3000 |
Ft insert ucb berkeley shell |
1,452 |
706 |
$177K |
| 73630 |
|
8,035 |
5,156 |
$131K |
| L4396 |
Static or dynami afo pre cst |
1,083 |
569 |
$111K |
| 11307 |
|
1,445 |
1,193 |
$84K |
| 99204 |
|
1,089 |
1,040 |
$73K |
| Q4037 |
Cast sup shrt leg plaster |
5,370 |
3,423 |
$55K |
| 29405 |
|
919 |
475 |
$55K |
| A6021 |
Collagen dressing <=16 sq in |
226 |
217 |
$45K |
| 99203 |
|
845 |
804 |
$39K |
| 11308 |
|
487 |
409 |
$35K |
| 29580 |
|
1,804 |
988 |
$32K |
| L4397 |
Static or dynami afo pre ots |
323 |
166 |
$27K |
| 11306 |
|
669 |
538 |
$27K |
| 11721 |
|
1,874 |
1,776 |
$25K |
| A6010 |
Collagen based wound filler |
28 |
28 |
$13K |
| 76942 |
|
255 |
196 |
$11K |
| 20550 |
|
367 |
201 |
$10K |
| 29581 |
|
731 |
439 |
$7K |
| 76882 |
|
373 |
268 |
$6K |
| 14040 |
|
16 |
13 |
$5K |
| J3301 |
Triamcinolone acet inj nos |
2,154 |
1,613 |
$3K |
| 28002 |
|
14 |
14 |
$2K |
| 11305 |
|
94 |
58 |
$2K |
| 20005 |
|
16 |
12 |
$2K |
| 11730 |
|
43 |
41 |
$2K |
| L1902 |
Afo ankle gauntlet pre ots |
36 |
26 |
$2K |
| L3060 |
Foot arch supp longitud/meta |
38 |
19 |
$1K |
| 20606 |
|
31 |
13 |
$1K |
| 93923 |
|
14 |
13 |
$749.60 |
| 11056 |
|
32 |
28 |
$509.92 |
| 11042 |
|
17 |
12 |
$470.63 |
| 99212 |
|
15 |
13 |
$294.03 |
| A6443 |
Conform band n/s w>=3"<5"/yd |
28 |
28 |
$96.60 |
| 11720 |
|
13 |
12 |
$88.14 |
| A4450 |
Non-waterproof tape |
28 |
28 |
$86.48 |
| A6402 |
Sterile gauze <= 16 sq in |
28 |
28 |
$57.60 |
| G0127 |
Trim nail(s) |
13 |
12 |
$23.00 |
| 99072 |
|
396 |
303 |
$0.00 |