| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,105 |
1,895 |
$172K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,319 |
1,271 |
$171K |
| 73630 |
|
2,150 |
1,907 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
581 |
556 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
739 |
697 |
$40K |
| 73610 |
|
159 |
145 |
$4K |
| 11750 |
|
22 |
15 |
$3K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$3K |
| 11721 |
|
89 |
85 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
13 |
$1K |
| 20550 |
|
13 |
12 |
$780.25 |
| 99024 |
|
17 |
12 |
$0.00 |