| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,493 |
1,106 |
$393K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,185 |
2,050 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,041 |
1,041 |
$102K |
| 17110 |
|
654 |
634 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
132 |
$6K |
| 11750 |
|
30 |
30 |
$5K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
13 |
13 |
$1K |
| 97760 |
|
159 |
159 |
$423.37 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
547 |
320 |
$0.00 |