| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,716 |
4,077 |
$161K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,711 |
1,621 |
$77K |
| 11721 |
|
4,213 |
3,928 |
$57K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
213 |
116 |
$32K |
| 73630 |
|
1,922 |
1,543 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,049 |
905 |
$18K |
| 11056 |
|
868 |
800 |
$13K |
| 11750 |
|
129 |
90 |
$8K |
| 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 |
84 |
41 |
$3K |
| 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 |
13 |
12 |
$2K |
| 29540 |
|
80 |
64 |
$1K |
| 11055 |
|
96 |
92 |
$1K |
| 17000 |
|
18 |
13 |
$796.05 |
| 73620 |
|
46 |
27 |
$767.84 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
26 |
12 |
$634.17 |
| 11730 |
|
12 |
12 |
$379.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
25 |
$198.23 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
14 |
13 |
$85.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
18 |
13 |
$1.52 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
14 |
12 |
$0.01 |
| G8410 |
Footwear evaluation performed and documented |
322 |
300 |
$0.00 |
| 1101F |
|
51 |
49 |
$0.00 |
| 1036F |
|
474 |
447 |
$0.00 |
| 1123F |
|
81 |
78 |
$0.00 |
| 99024 |
|
56 |
41 |
$0.00 |
| 4004F |
|
84 |
79 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
294 |
274 |
$0.00 |
| 4040F |
|
82 |
79 |
$0.00 |