| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,468 |
11,948 |
$249K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,005 |
3,885 |
$188K |
| 11721 |
|
10,930 |
10,571 |
$70K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
865 |
844 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,901 |
4,255 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,534 |
1,375 |
$41K |
| 11750 |
|
316 |
235 |
$32K |
| 11056 |
|
1,764 |
1,713 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
261 |
252 |
$10K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
58 |
29 |
$9K |
| 11720 |
|
2,840 |
2,716 |
$9K |
| 11719 |
|
3,678 |
3,558 |
$6K |
| 73630 |
|
243 |
143 |
$4K |
| 73620 |
|
246 |
119 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
465 |
83 |
$3K |
| 11730 |
|
42 |
40 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
160 |
107 |
$964.76 |
| CP003 |
|
47 |
41 |
$424.76 |
| 11055 |
|
53 |
51 |
$273.37 |
| 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 |
1,076 |
542 |
$118.01 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
67 |
15 |
$67.53 |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
952 |
482 |
$0.00 |
| 99307 |
|
14 |
14 |
$0.00 |