| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,341 |
3,693 |
$115K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
647 |
318 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,029 |
960 |
$43K |
| 11721 |
|
1,224 |
1,000 |
$17K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
14 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 73630 |
|
90 |
67 |
$407.18 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
12 |
$222.69 |