| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,204 |
3,435 |
$162K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,956 |
1,906 |
$102K |
| 11721 |
|
2,464 |
2,415 |
$48K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
119 |
66 |
$26K |
| 73630 |
|
1,094 |
846 |
$18K |
| 11750 |
|
68 |
46 |
$5K |
| 11057 |
|
140 |
128 |
$5K |
| 96004 |
|
53 |
53 |
$3K |
| 29540 |
|
148 |
126 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
34 |
25 |
$1K |
| 11056 |
|
63 |
54 |
$1K |
| 11730 |
|
12 |
12 |
$626.12 |
| 96001 |
|
37 |
37 |
$22.00 |
| 2028F |
|
22 |
19 |
$0.00 |