| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,721 |
1,560 |
$52K |
| 76881 |
|
858 |
443 |
$51K |
| 73620 |
|
2,082 |
1,089 |
$27K |
| 11721 |
|
916 |
824 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
470 |
403 |
$12K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
84 |
42 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
203 |
167 |
$8K |