| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,095 |
1,921 |
$829K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19,872 |
17,804 |
$658K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,902 |
19,614 |
$492K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
4,428 |
4,409 |
$273K |
| 11721 |
|
10,296 |
10,028 |
$246K |
| 73630 |
|
5,458 |
4,097 |
$138K |
| 11056 |
|
6,948 |
6,704 |
$132K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
931 |
535 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,536 |
1,535 |
$77K |
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
1,377 |
766 |
$66K |
| 29799 |
|
1,512 |
1,492 |
$63K |
| 11720 |
|
3,871 |
3,806 |
$63K |
| 99205 |
Prolong outpt/office vis |
697 |
695 |
$48K |
| 11750 |
|
581 |
525 |
$44K |
| 29540 |
|
2,981 |
2,411 |
$40K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
285 |
282 |
$31K |
| 11043 |
|
218 |
100 |
$25K |
| 11057 |
|
557 |
528 |
$14K |
| 29581 |
|
181 |
111 |
$12K |
| 99215 |
Prolong outpt/office vis |
199 |
187 |
$9K |
| 11000 |
|
494 |
478 |
$8K |
| 97597 |
|
198 |
116 |
$7K |
| 93922 |
|
138 |
137 |
$6K |
| 11765 |
|
84 |
52 |
$6K |
| G0127 |
Trimming of dystrophic nails, any number |
896 |
887 |
$6K |
| 99349 |
|
167 |
163 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
25 |
$3K |
| 99305 |
|
91 |
88 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
162 |
155 |
$3K |
| 76942 |
|
42 |
38 |
$2K |
| 11055 |
|
105 |
103 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81 |
81 |
$2K |
| 20550 |
|
12 |
12 |
$989.05 |
| 29550 |
|
73 |
64 |
$461.83 |
| 73610 |
|
13 |
12 |
$298.68 |
| 99342 |
|
27 |
27 |
$213.80 |
| 99347 |
|
52 |
50 |
$0.00 |