| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,669 |
18,602 |
$592K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,566 |
8,160 |
$335K |
| 11721 |
|
13,200 |
13,066 |
$283K |
| 15275 |
|
117 |
44 |
$278K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,644 |
1,853 |
$272K |
| 11056 |
|
8,352 |
8,257 |
$145K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
746 |
375 |
$90K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,162 |
3,154 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,735 |
1,733 |
$57K |
| 73630 |
|
3,196 |
2,614 |
$32K |
| 20550 |
|
1,319 |
1,142 |
$24K |
| 29581 |
|
916 |
393 |
$23K |
| 93922 |
|
478 |
473 |
$17K |
| Q4133 |
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure) |
23 |
13 |
$17K |
| 97750 |
|
430 |
430 |
$13K |
| 20610 |
|
1,679 |
1,286 |
$12K |
| 11057 |
|
361 |
349 |
$5K |
| 11750 |
|
30 |
27 |
$5K |
| 97597 |
|
329 |
201 |
$4K |
| 11043 |
|
23 |
12 |
$3K |
| 73620 |
|
926 |
491 |
$3K |
| 73600 |
|
771 |
403 |
$3K |
| 29580 |
|
165 |
45 |
$3K |
| 99223 |
Prolong inpt eval add15 m |
30 |
27 |
$3K |
| 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 |
36 |
25 |
$3K |
| 99215 |
Prolong outpt/office vis |
123 |
123 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
130 |
80 |
$2K |
| 11720 |
|
499 |
492 |
$2K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
17 |
12 |
$1K |
| 73610 |
|
361 |
319 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
49 |
27 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
270 |
262 |
$1K |
| J7321 |
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose |
25 |
13 |
$988.08 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
781 |
745 |
$851.20 |
| 76881 |
|
178 |
103 |
$808.54 |
| 76942 |
|
141 |
105 |
$644.73 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
371 |
359 |
$575.90 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
27 |
12 |
$539.04 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
44 |
25 |
$535.66 |
| J7328 |
Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg |
106 |
54 |
$496.12 |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$492.50 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
122 |
119 |
$409.67 |
| 29540 |
|
121 |
117 |
$205.57 |
| 11055 |
|
56 |
53 |
$201.56 |
| G0127 |
Trimming of dystrophic nails, any number |
211 |
210 |
$142.31 |
| J1010 |
Injection, methylprednisolone acetate, 1 mg |
32 |
29 |
$120.50 |
| 11730 |
|
15 |
12 |
$57.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
58 |
$48.87 |
| 99307 |
|
14 |
14 |
$13.70 |
| 99233 |
Prolong inpt eval add15 m |
36 |
13 |
$0.00 |
| 1100F |
|
38 |
38 |
$0.00 |
| 0518F |
|
12 |
12 |
$0.00 |
| 71045 |
Radiologic examination, chest; single view |
18 |
16 |
$0.00 |