| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,246 |
5,670 |
$112K |
| 11721 |
|
9,582 |
9,523 |
$68K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
199 |
100 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
575 |
575 |
$44K |
| 73630 |
|
2,751 |
1,672 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,907 |
4,765 |
$20K |
| 29405 |
|
261 |
139 |
$20K |
| 11755 |
|
607 |
604 |
$6K |
| 99334 |
|
825 |
825 |
$4K |
| 29540 |
|
389 |
249 |
$4K |
| 11056 |
|
570 |
558 |
$4K |
| 76882 |
|
550 |
351 |
$4K |
| 99347 |
|
300 |
299 |
$3K |
| 11305 |
|
703 |
692 |
$2K |
| 11730 |
|
492 |
487 |
$1K |
| 11308 |
|
378 |
315 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
296 |
$1K |
| 76942 |
|
69 |
51 |
$941.63 |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
28 |
14 |
$911.96 |
| 20550 |
|
67 |
57 |
$691.46 |
| 11055 |
|
70 |
68 |
$674.03 |
| 93922 |
|
433 |
260 |
$535.00 |
| 10121 |
|
12 |
12 |
$413.14 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
28 |
28 |
$345.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
54 |
54 |
$246.21 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
156 |
136 |
$217.64 |
| 95923 |
|
132 |
132 |
$119.93 |
| 11000 |
|
39 |
39 |
$97.17 |
| 97597 |
|
16 |
12 |
$51.79 |
| 11720 |
|
15 |
15 |
$27.13 |
| 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 |
26 |
13 |
$0.00 |
| 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 |
26 |
13 |
$0.00 |