| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,870 |
10,007 |
$137K |
| 11056 |
|
15,082 |
14,245 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,488 |
2,115 |
$51K |
| 11720 |
|
13,684 |
12,938 |
$48K |
| 11057 |
|
2,378 |
1,965 |
$47K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,832 |
4,578 |
$38K |
| 11721 |
|
4,336 |
3,699 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
583 |
580 |
$18K |
| 99306 |
Prolong nursin fac eval 15m |
641 |
629 |
$16K |
| 99349 |
|
667 |
636 |
$16K |
| 11719 |
|
12,915 |
12,025 |
$11K |
| 11755 |
|
496 |
488 |
$9K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
91 |
41 |
$3K |
| 99343 |
|
47 |
47 |
$1K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
318 |
303 |
$1K |
| 99442 |
|
66 |
65 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
133 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
27 |
27 |
$552.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$486.06 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
52 |
45 |
$86.93 |
| 99443 |
|
15 |
15 |
$8.58 |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
56 |
28 |
$0.00 |
| L2330 |
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only |
56 |
28 |
$0.00 |
| L1940 |
Ankle foot orthosis, plastic or other material, custom fabricated |
56 |
28 |
$0.00 |
| 1100F |
|
8,790 |
7,469 |
$0.00 |