| Code | Description | Claims | Beneficiaries | Total Paid |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,948 |
2,065 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,036 |
10,217 |
$50K |
| 29581 |
|
2,330 |
973 |
$25K |
| 15275 |
|
81 |
27 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,626 |
1,618 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,659 |
2,368 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
608 |
606 |
$7K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
284 |
141 |
$7K |
| 11721 |
|
3,356 |
3,304 |
$7K |
| 11056 |
|
1,951 |
1,938 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
434 |
423 |
$5K |
| 99243 |
|
1,107 |
1,107 |
$4K |
| 73630 |
|
1,525 |
1,191 |
$3K |
| 97597 |
|
468 |
292 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
252 |
180 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
175 |
175 |
$1K |
| 99245 |
|
14 |
12 |
$715.38 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
17 |
16 |
$683.64 |
| 73610 |
|
244 |
213 |
$295.18 |
| 11750 |
|
25 |
12 |
$282.46 |
| 11730 |
|
87 |
55 |
$91.70 |
| 11057 |
|
12 |
12 |
$91.20 |
| 11055 |
|
39 |
38 |
$85.87 |
| 11720 |
|
80 |
80 |
$40.99 |
| G0127 |
Trimming of dystrophic nails, any number |
40 |
40 |
$5.08 |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
44 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
25 |
$0.00 |