| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,494 |
3,091 |
$146K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,168 |
1,668 |
$134K |
| 17110 |
|
1,809 |
1,725 |
$106K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
368 |
213 |
$69K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
988 |
986 |
$57K |
| 99222 |
Initial hospital care, per day, moderate complexity |
586 |
555 |
$41K |
| 73630 |
|
2,052 |
1,622 |
$38K |
| 11721 |
|
1,513 |
1,510 |
$32K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
602 |
237 |
$23K |
| 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 |
63 |
63 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
216 |
197 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$2K |
| 11730 |
|
27 |
26 |
$1K |
| 11056 |
|
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$906.10 |
| 73610 |
|
38 |
27 |
$805.92 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
18 |
13 |
$637.44 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |