| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
665 |
664 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
307 |
$33K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
44 |
22 |
$6K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
46 |
23 |
$4K |
| 73630 |
|
181 |
119 |
$4K |
| 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 |
22 |
15 |
$2K |