| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
1,968 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,604 |
1,471 |
$55K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
153 |
82 |
$21K |
| 73630 |
|
1,122 |
887 |
$21K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
269 |
188 |
$12K |
| 11721 |
|
600 |
553 |
$6K |
| 11750 |
|
88 |
67 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
271 |
82 |
$5K |
| 99253 |
|
91 |
82 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$496.61 |
| 29540 |
|
16 |
15 |
$247.19 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$86.17 |