| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,602 |
6,544 |
$455K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,217 |
2,208 |
$202K |
| 11721 |
|
4,293 |
4,265 |
$128K |
| 11056 |
|
1,648 |
1,622 |
$85K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
231 |
118 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
638 |
594 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$4K |
| 11055 |
|
151 |
144 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
19 |
12 |
$2K |
| 11720 |
|
24 |
24 |
$582.13 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
43 |
42 |
$493.52 |