| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Ft insert ucb berkeley shell |
115,209 |
40,918 |
$29.13M |
| L2275 |
Plastic mod low ext pad/line |
67,958 |
27,881 |
$7.35M |
| 99212 |
|
113,647 |
92,794 |
$3.41M |
| L1971 |
Afo w/ankle joint, prefab |
14,550 |
6,850 |
$3.33M |
| L3216 |
Orthoped ladies shoes dpth i |
57,400 |
21,399 |
$2.86M |
| L4397 |
Static or dynami afo pre ots |
20,201 |
9,471 |
$1.97M |
| L3221 |
Orthopedic mens shoes dpth i |
34,311 |
12,465 |
$1.86M |
| L2820 |
Soft interface below knee se |
18,978 |
8,637 |
$1.57M |
| 99202 |
|
32,564 |
30,803 |
$1.50M |
| 17110 |
|
20,282 |
17,840 |
$1.04M |
| 11755 |
|
12,640 |
11,850 |
$822K |
| 99213 |
|
15,780 |
14,150 |
$644K |
| L1970 |
Afo plastic molded w/ankle j |
1,660 |
632 |
$459K |
| 99203 |
|
6,733 |
6,714 |
$444K |
| L2330 |
Lacer molded to patient mode |
1,658 |
689 |
$323K |
| L3202 |
Oxford w/ supinat/pronator c |
4,678 |
2,145 |
$152K |
| L2200 |
Limited ankle motion ea jnt |
1,552 |
637 |
$56K |
| L4361 |
Pneuma/vac walk boot pre ots |
299 |
278 |
$51K |
| 11730 |
|
531 |
448 |
$38K |
| 11750 |
|
328 |
261 |
$33K |
| A4590 |
Special casting material |
1,709 |
625 |
$18K |
| L3260 |
Ambulatory surgical boot eac |
726 |
585 |
$17K |
| L1940 |
Afo molded to patient plasti |
57 |
26 |
$12K |
| 11721 |
|
146 |
144 |
$3K |
| 20550 |
|
45 |
40 |
$2K |
| L3031 |
Foot lamin/prepreg composite |
1,190 |
588 |
$1K |
| 11042 |
|
24 |
13 |
$1K |
| A5500 |
Diab shoe for density insert |
26 |
13 |
$792.00 |
| A5512 |
Multi den insert direct form |
26 |
13 |
$566.64 |
| Q4046 |
Cast sup sht leg splnt fbrgl |
231 |
91 |
$334.84 |
| 99342 |
|
23 |
20 |
$201.28 |
| 29799 |
|
34 |
31 |
$173.25 |