| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,254 |
728 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,937 |
4,155 |
$123K |
| 99243 |
|
793 |
608 |
$57K |
| 11750 |
|
528 |
381 |
$53K |
| 73630 |
|
2,392 |
1,712 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,031 |
2,489 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
931 |
817 |
$46K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
336 |
327 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
443 |
396 |
$26K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
196 |
111 |
$19K |
| 11721 |
|
1,237 |
1,087 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
422 |
$12K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
83 |
33 |
$2K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
15 |
12 |
$2K |
| 11720 |
|
114 |
101 |
$928.74 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
33 |
12 |
$789.88 |
| 29540 |
|
48 |
40 |
$680.62 |