| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11056 |
|
6,643 |
5,822 |
$97K |
| 11721 |
|
8,188 |
7,281 |
$75K |
| 93922 |
|
1,658 |
1,455 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
185 |
155 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
61 |
53 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
897 |
821 |
$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 |
21 |
13 |
$693.88 |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
23 |
12 |
$399.92 |