| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,899 |
9,704 |
$259K |
| L3170 |
Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each |
1,762 |
870 |
$99K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
835 |
499 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,298 |
1,281 |
$53K |
| 11721 |
|
4,648 |
4,604 |
$47K |
| 29540 |
|
1,071 |
731 |
$13K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
217 |
105 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
501 |
458 |
$10K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$3K |
| 20550 |
|
206 |
124 |
$3K |
| L3260 |
Surgical boot/shoe, each |
37 |
37 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
197 |
181 |
$421.43 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
13 |
12 |
$405.73 |
| 29580 |
|
14 |
12 |
$221.91 |