| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
11,377 |
8,144 |
$2.87M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,862 |
32,167 |
$1.51M |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
2,943 |
2,178 |
$368K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,974 |
4,793 |
$276K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
1,896 |
1,404 |
$251K |
| 29540 |
|
5,889 |
4,926 |
$189K |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
1,555 |
1,288 |
$122K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
8,412 |
7,869 |
$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 |
356 |
293 |
$50K |
| 11721 |
|
2,484 |
2,035 |
$23K |
| 73630 |
|
1,422 |
1,054 |
$20K |
| 73620 |
|
1,451 |
848 |
$18K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
123 |
105 |
$11K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
157 |
137 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
149 |
126 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
148 |
144 |
$4K |
| 73610 |
|
267 |
203 |
$4K |
| 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 |
22 |
18 |
$3K |
| 11755 |
|
48 |
39 |
$2K |
| 99072 |
|
12,596 |
11,095 |
$1K |
| 11720 |
|
79 |
65 |
$550.62 |
| 29550 |
|
17 |
12 |
$375.63 |
| 11056 |
|
42 |
36 |
$129.79 |
| G0127 |
Trimming of dystrophic nails, any number |
58 |
45 |
$89.79 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$77.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
12 |
$40.20 |