| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,746 |
2,925 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,357 |
1,123 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,938 |
1,499 |
$39K |
| 11721 |
|
3,276 |
2,662 |
$34K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
458 |
270 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
160 |
140 |
$10K |
| 11720 |
|
1,209 |
998 |
$8K |
| 29540 |
|
376 |
228 |
$6K |
| 73630 |
|
318 |
200 |
$4K |
| 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 |
118 |
41 |
$3K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
57 |
13 |
$2K |
| 20550 |
|
43 |
24 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
17 |
$805.20 |
| 97597 |
|
32 |
12 |
$407.86 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
207 |
159 |
$275.61 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
202 |
156 |
$210.38 |