| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,283 |
641 |
$271K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,787 |
5,825 |
$226K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,498 |
1,496 |
$95K |
| 73630 |
|
1,518 |
1,096 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,579 |
1,454 |
$21K |
| 11721 |
|
971 |
970 |
$17K |
| 99215 |
Prolong outpt/office vis |
246 |
232 |
$14K |
| 99205 |
Prolong outpt/office vis |
169 |
167 |
$14K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
219 |
128 |
$12K |
| 11750 |
|
103 |
78 |
$7K |
| 11755 |
|
185 |
107 |
$6K |
| 20550 |
|
158 |
132 |
$6K |
| 29540 |
|
390 |
127 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
99 |
98 |
$5K |
| 11056 |
|
113 |
113 |
$2K |
| 73610 |
|
59 |
41 |
$1K |
| 11730 |
|
35 |
25 |
$762.67 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
16 |
$3.10 |