| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
5,353 |
3,987 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,065 |
2,054 |
$37K |
| 73630 |
|
2,816 |
1,599 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,211 |
1,612 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
673 |
487 |
$18K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
930 |
559 |
$10K |
| 17110 |
|
259 |
137 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
36 |
$2K |
| L3050 |
Foot, arch support, removable, premolded, metatarsal, each |
28 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
26 |
$901.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
45 |
31 |
$609.02 |
| 99223 |
Prolong inpt eval add15 m |
19 |
12 |
$387.94 |