| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,324 |
3,180 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,761 |
1,263 |
$69K |
| 11750 |
|
1,019 |
672 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,509 |
1,107 |
$50K |
| 73630 |
|
4,391 |
2,088 |
$50K |
| 14040 |
|
228 |
172 |
$40K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
470 |
345 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,997 |
1,295 |
$19K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
142 |
45 |
$18K |
| 73620 |
|
1,418 |
869 |
$13K |
| 11057 |
|
1,184 |
772 |
$13K |
| 11730 |
|
392 |
297 |
$8K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
335 |
262 |
$7K |
| 11056 |
|
403 |
258 |
$3K |
| 11719 |
|
1,777 |
1,214 |
$2K |
| 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 |
12 |
12 |
$2K |
| 28230 |
|
15 |
12 |
$1K |
| 28234 |
|
15 |
12 |
$324.38 |
| 11732 |
|
41 |
29 |
$293.66 |
| 11721 |
|
45 |
27 |
$44.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |