| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,993 |
9,845 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,718 |
1,366 |
$75K |
| 73630 |
|
5,347 |
3,471 |
$73K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,387 |
1,300 |
$53K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
964 |
658 |
$22K |
| 11721 |
|
2,411 |
2,109 |
$20K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
50 |
24 |
$6K |
| 11056 |
|
426 |
351 |
$5K |
| 17110 |
|
132 |
100 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
101 |
96 |
$1K |
| 99443 |
|
51 |
40 |
$1K |
| 10060 |
|
16 |
12 |
$986.58 |
| 73610 |
|
14 |
12 |
$193.85 |
| 11720 |
|
14 |
12 |
$64.63 |
| 11719 |
|
14 |
12 |
$25.43 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
32 |
26 |
$22.64 |
| A6219 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
14 |
14 |
$19.95 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
32 |
26 |
$2.68 |
| 99024 |
|
44 |
27 |
$0.00 |