| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,779 |
3,369 |
$109K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
687 |
319 |
$104K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,578 |
1,449 |
$91K |
| 73630 |
|
1,643 |
1,072 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
709 |
592 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
386 |
239 |
$19K |
| 11721 |
|
1,390 |
1,286 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
495 |
467 |
$11K |
| 11056 |
|
296 |
265 |
$5K |
| 95851 |
|
172 |
78 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$973.48 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
282 |
132 |
$0.00 |