| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,165 |
5,588 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,505 |
5,911 |
$103K |
| 11721 |
|
6,839 |
6,742 |
$78K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,236 |
1,236 |
$47K |
| 11056 |
|
4,440 |
4,321 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,093 |
1,015 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
667 |
663 |
$15K |
| 11000 |
|
822 |
756 |
$7K |
| 11720 |
|
1,437 |
1,421 |
$7K |
| 11043 |
|
163 |
104 |
$6K |
| 29540 |
|
743 |
611 |
$5K |
| 99305 |
|
100 |
99 |
$4K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
112 |
112 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
137 |
137 |
$2K |
| 11057 |
|
176 |
166 |
$2K |
| 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 |
26 |
13 |
$695.88 |
| 11750 |
|
46 |
38 |
$589.25 |
| 11730 |
|
38 |
38 |
$377.53 |
| 11055 |
|
53 |
51 |
$347.45 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
16 |
13 |
$263.38 |
| G0127 |
Trimming of dystrophic nails, any number |
49 |
49 |
$241.28 |
| 29550 |
|
36 |
28 |
$230.79 |
| 99307 |
|
12 |
12 |
$126.06 |
| 97597 |
|
12 |
12 |
$0.00 |