| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,120 |
12,153 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,323 |
9,455 |
$307K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,343 |
674 |
$267K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
3,722 |
3,706 |
$265K |
| 11721 |
|
10,417 |
10,382 |
$215K |
| 11056 |
|
4,662 |
4,631 |
$96K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,594 |
1,585 |
$94K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
904 |
514 |
$82K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
29 |
13 |
$33K |
| 11750 |
|
401 |
307 |
$29K |
| 99205 |
Prolong outpt/office vis |
91 |
91 |
$8K |
| 20550 |
|
195 |
154 |
$7K |
| 73630 |
|
363 |
261 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
329 |
306 |
$4K |
| 11043 |
|
26 |
12 |
$4K |
| 29540 |
|
273 |
206 |
$3K |
| 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 |
64 |
32 |
$3K |
| 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 |
88 |
44 |
$2K |
| 11720 |
|
368 |
366 |
$2K |
| 99215 |
Prolong outpt/office vis |
26 |
26 |
$965.63 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
118 |
97 |
$834.19 |
| 11755 |
|
13 |
13 |
$659.73 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$294.84 |
| 11055 |
|
16 |
15 |
$259.68 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
85 |
84 |
$256.86 |
| G0127 |
Trimming of dystrophic nails, any number |
61 |
61 |
$191.02 |
| 88312 |
|
18 |
18 |
$134.28 |
| 64450 |
|
25 |
17 |
$49.14 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
20 |
20 |
$33.93 |