| Code | Description | Claims | Beneficiaries | Total Paid |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
520 |
274 |
$61K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
774 |
386 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
822 |
796 |
$40K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
189 |
95 |
$11K |
| 11730 |
|
181 |
176 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
145 |
145 |
$9K |