| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,134 |
1,627 |
$65K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
710 |
658 |
$30K |
| 11721 |
|
1,315 |
1,221 |
$17K |
| 73630 |
|
476 |
359 |
$7K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
206 |
97 |
$6K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
12 |
12 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
25 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
21 |
12 |
$1K |
| 99342 |
|
17 |
17 |
$740.90 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$320.76 |
| 99024 |
|
184 |
139 |
$0.00 |