| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,195 |
10,919 |
$452K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
4,283 |
1,643 |
$448K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,878 |
2,553 |
$123K |
| 73630 |
|
5,661 |
3,067 |
$60K |
| 29425 |
|
1,202 |
695 |
$45K |
| 29540 |
|
3,786 |
2,332 |
$44K |
| 20550 |
|
3,146 |
2,048 |
$37K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
410 |
368 |
$23K |
| 73610 |
|
1,611 |
1,046 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
341 |
$17K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
115 |
89 |
$16K |
| 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 |
110 |
92 |
$14K |
| L3260 |
Surgical boot/shoe, each |
229 |
203 |
$13K |
| 11755 |
|
327 |
244 |
$11K |
| 64450 |
|
1,129 |
749 |
$10K |
| 76942 |
|
283 |
173 |
$7K |
| 11750 |
|
198 |
111 |
$5K |
| 11721 |
|
687 |
627 |
$5K |
| 93923 |
|
431 |
162 |
$3K |
| 17110 |
|
111 |
79 |
$3K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
59 |
46 |
$3K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
224 |
111 |
$3K |
| 76882 |
|
179 |
106 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
40 |
39 |
$2K |
| 73620 |
|
194 |
125 |
$2K |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
131 |
127 |
$2K |
| 20605 |
|
70 |
55 |
$773.58 |
| 29550 |
|
61 |
41 |
$760.58 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,072 |
780 |
$740.67 |
| 11056 |
|
86 |
63 |
$360.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
13 |
$350.24 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
3,708 |
2,323 |
$348.32 |
| 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 |
34 |
13 |
$202.53 |
| 29580 |
|
13 |
12 |
$166.24 |
| 99024 |
|
628 |
382 |
$41.00 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
998 |
593 |
$17.52 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
335 |
239 |
$8.60 |