| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,878 |
6,369 |
$207K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,762 |
2,076 |
$129K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,935 |
1,008 |
$76K |
| 11721 |
|
5,122 |
4,480 |
$63K |
| 11056 |
|
1,661 |
1,503 |
$37K |
| 11720 |
|
2,564 |
2,263 |
$25K |
| 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 |
667 |
147 |
$17K |
| 11055 |
|
1,044 |
900 |
$16K |
| 73630 |
|
808 |
561 |
$13K |
| 11719 |
|
2,118 |
1,872 |
$12K |
| 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 |
428 |
192 |
$12K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 |
403 |
57 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
438 |
369 |
$7K |
| 99072 |
|
3,554 |
2,751 |
$5K |
| 97597 |
|
210 |
137 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
36 |
$2K |
| L3260 |
Surgical boot/shoe, each |
50 |
38 |
$1K |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$1K |