| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Ft insert ucb berkeley shell |
11,377 |
8,144 |
$2.87M |
| 99213 |
|
37,862 |
32,167 |
$1.51M |
| L3216 |
Orthoped ladies shoes dpth i |
2,943 |
2,178 |
$368K |
| 99203 |
|
4,974 |
4,793 |
$276K |
| L3221 |
Orthopedic mens shoes dpth i |
1,896 |
1,404 |
$251K |
| 29540 |
|
5,889 |
4,926 |
$189K |
| L3202 |
Oxford w/ supinat/pronator c |
1,555 |
1,288 |
$122K |
| S0395 |
Impression casting ft |
8,412 |
7,869 |
$99K |
| L4396 |
Static or dynami afo pre cst |
356 |
293 |
$50K |
| 11721 |
|
2,484 |
2,035 |
$23K |
| 73630 |
|
1,422 |
1,054 |
$20K |
| 73620 |
|
1,451 |
848 |
$18K |
| L1906 |
Afo multilig ank sup pre ots |
123 |
105 |
$11K |
| L1902 |
Afo ankle gauntlet pre ots |
157 |
137 |
$8K |
| 99214 |
|
149 |
126 |
$8K |
| 99212 |
|
148 |
144 |
$4K |
| 73610 |
|
267 |
203 |
$4K |
| L4397 |
Static or dynami afo pre ots |
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 |
Trim nail(s) |
58 |
45 |
$89.79 |
| J1030 |
Methylprednisolone 40 mg inj |
14 |
13 |
$77.39 |
| J3301 |
Triamcinolone acet inj nos |
14 |
12 |
$40.20 |