| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,806 |
10,227 |
$378K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,813 |
2,651 |
$160K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
687 |
226 |
$48K |
| 73630 |
|
2,899 |
2,237 |
$38K |
| 11056 |
|
2,728 |
2,350 |
$27K |
| 11721 |
|
2,438 |
2,123 |
$21K |
| 11720 |
|
2,775 |
2,406 |
$16K |
| 11750 |
|
71 |
67 |
$6K |
| 11055 |
|
502 |
455 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
393 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
95 |
51 |
$4K |
| 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 |
340 |
103 |
$2K |
| 11719 |
|
625 |
535 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$2K |
| 17110 |
|
26 |
25 |
$920.96 |
| 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 |
44 |
12 |
$672.82 |
| 73610 |
|
64 |
55 |
$594.29 |
| 97760 |
|
14 |
14 |
$482.35 |
| K0903 |
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 |
28 |
18 |
$287.49 |
| 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 |
119 |
41 |
$148.08 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
43 |
38 |
$106.11 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
14 |
13 |
$20.79 |
| G8410 |
Footwear evaluation performed and documented |
1,643 |
1,400 |
$0.00 |
| 1036F |
|
1,810 |
1,538 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,887 |
2,331 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
1,216 |
1,060 |
$0.00 |
| 99072 |
|
53 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
42 |
30 |
$0.00 |