| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,411 |
5,798 |
$278K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,449 |
2,441 |
$141K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,340 |
1,150 |
$102K |
| 73630 |
|
4,417 |
3,314 |
$79K |
| 11721 |
|
2,489 |
2,477 |
$58K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
594 |
594 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
704 |
616 |
$45K |
| 17110 |
|
491 |
331 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
297 |
247 |
$6K |
| 11750 |
|
62 |
50 |
$5K |
| 20550 |
|
145 |
94 |
$3K |
| 29580 |
|
70 |
37 |
$3K |
| 73610 |
|
57 |
49 |
$1K |
| 11720 |
|
56 |
55 |
$962.43 |
| 97597 |
|
17 |
13 |
$637.48 |
| 73600 |
|
16 |
12 |
$210.46 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
40 |
32 |
$69.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
198 |
176 |
$26.03 |
| G8410 |
Footwear evaluation performed and documented |
187 |
172 |
$0.00 |
| 99024 |
|
667 |
460 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
193 |
177 |
$0.00 |