| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39,541 |
34,909 |
$728K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
6,253 |
2,807 |
$410K |
| 11721 |
|
15,633 |
15,413 |
$334K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,183 |
1,091 |
$220K |
| 11056 |
|
11,389 |
11,047 |
$185K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,366 |
3,361 |
$169K |
| 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 |
2,117 |
1,741 |
$122K |
| 29540 |
|
8,927 |
6,049 |
$96K |
| 11043 |
|
732 |
325 |
$77K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
1,193 |
997 |
$72K |
| 11750 |
|
1,356 |
1,107 |
$61K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,924 |
1,922 |
$57K |
| 11720 |
|
4,380 |
4,344 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,962 |
1,799 |
$31K |
| 29581 |
|
605 |
259 |
$28K |
| 20551 |
|
803 |
666 |
$27K |
| 11055 |
|
1,900 |
1,854 |
$20K |
| 20605 |
|
626 |
517 |
$16K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
3,236 |
3,155 |
$15K |
| 64450 |
|
383 |
209 |
$15K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
3,287 |
3,211 |
$11K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
198 |
155 |
$9K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
39 |
37 |
$7K |
| 99205 |
Prolong outpt/office vis |
120 |
120 |
$7K |
| 20600 |
|
329 |
290 |
$7K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
81 |
67 |
$7K |
| L3260 |
Surgical boot/shoe, each |
202 |
178 |
$6K |
| 99243 |
|
161 |
160 |
$6K |
| 11057 |
|
162 |
141 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
118 |
$2K |
| 29515 |
|
47 |
39 |
$2K |
| 20550 |
|
30 |
24 |
$956.38 |
| 11730 |
|
38 |
29 |
$633.04 |
| 97597 |
|
24 |
14 |
$287.60 |