| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,858 |
9,907 |
$438K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
6,065 |
5,536 |
$389K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,420 |
1,215 |
$116K |
| 73630 |
|
3,824 |
2,777 |
$75K |
| 11721 |
|
6,620 |
5,784 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
495 |
444 |
$50K |
| 11056 |
|
931 |
831 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
270 |
$17K |
| 99072 |
|
1,688 |
1,277 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
72 |
64 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$2K |
| 73610 |
|
62 |
49 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$796.52 |
| 88312 |
|
13 |
13 |
$519.92 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
13 |
13 |
$364.76 |
| 11055 |
|
14 |
12 |
$331.67 |