| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,331 |
1,967 |
$476K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,294 |
7,120 |
$433K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
4,557 |
4,518 |
$360K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,205 |
3,167 |
$301K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,292 |
2,286 |
$289K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
2,708 |
2,679 |
$225K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
2,183 |
2,026 |
$224K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
1,179 |
629 |
$196K |
| 29405 |
|
2,859 |
1,907 |
$170K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
3,280 |
1,762 |
$154K |
| L3350 |
Heel wedge |
4,169 |
4,126 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,778 |
1,745 |
$71K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
531 |
317 |
$67K |
| L3390 |
Outflare wedge |
861 |
857 |
$55K |
| L1836 |
Knee orthosis, rigid, without joint(s), includes soft interface material, prefabricated, off-the-shelf |
558 |
330 |
$35K |
| L3410 |
Metatarsal bar wedge, between sole |
275 |
270 |
$33K |
| L3370 |
Sole wedge, between sole |
526 |
520 |
$32K |
| L2830 |
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section |
272 |
271 |
$24K |
| 29540 |
|
938 |
630 |
$21K |
| L3510 |
Orthopedic shoe addition, insole, rubber |
989 |
921 |
$15K |
| Q4037 |
Cast supplies, short leg cast, adult (11 years +), plaster |
823 |
823 |
$11K |
| L3500 |
Orthopedic shoe addition, insole, leather |
716 |
647 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
82 |
$7K |
| Q4039 |
Cast supplies, short leg cast, pediatric (0-10 years), plaster |
587 |
582 |
$7K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
42 |
21 |
$6K |
| 99205 |
Prolong outpt/office vis |
22 |
22 |
$4K |
| L3360 |
Sole wedge, outside sole |
67 |
66 |
$3K |
| L3430 |
Heel, counter, plastic reinforced |
13 |
13 |
$3K |
| 97763 |
|
181 |
166 |
$2K |
| L3480 |
Heel, pad and depression for spur |
26 |
26 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 97760 |
|
97 |
90 |
$707.38 |
| 11721 |
|
12 |
12 |
$403.08 |