| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
115,209 |
40,918 |
$29.13M |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
67,958 |
27,881 |
$7.35M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113,647 |
92,794 |
$3.41M |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
14,550 |
6,850 |
$3.33M |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
57,400 |
21,399 |
$2.86M |
| 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 |
20,201 |
9,471 |
$1.97M |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
34,311 |
12,465 |
$1.86M |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
18,978 |
8,637 |
$1.57M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
32,564 |
30,803 |
$1.50M |
| 17110 |
|
20,282 |
17,840 |
$1.04M |
| 11755 |
|
12,640 |
11,850 |
$822K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,780 |
14,150 |
$644K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
1,660 |
632 |
$459K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,733 |
6,714 |
$444K |
| L2330 |
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
1,658 |
689 |
$323K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
4,678 |
2,145 |
$152K |
| L2200 |
Addition to lower extremity, limited ankle motion, each joint |
1,552 |
637 |
$56K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
299 |
278 |
$51K |
| 11730 |
|
531 |
448 |
$38K |
| 11750 |
|
328 |
261 |
$33K |
| A4590 |
Special casting material (e.g., fiberglass) |
1,709 |
625 |
$18K |
| L3260 |
Surgical boot/shoe, each |
726 |
585 |
$17K |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
57 |
26 |
$12K |
| 11721 |
|
146 |
144 |
$3K |
| 20550 |
|
45 |
40 |
$2K |
| L3031 |
Foot, insert/plate, removable, addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, each |
1,190 |
588 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
24 |
13 |
$1K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
26 |
13 |
$792.00 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
26 |
13 |
$566.64 |
| Q4046 |
Cast supplies, short leg splint, adult (11 years +), fiberglass |
231 |
91 |
$334.84 |
| 99342 |
|
23 |
20 |
$201.28 |
| 29799 |
|
34 |
31 |
$173.25 |