| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
3,920 |
3,886 |
$12K |
| 11730 |
|
420 |
414 |
$4K |
| 99348 |
|
602 |
586 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,248 |
1,193 |
$4K |
| 17000 |
|
567 |
555 |
$3K |
| 99334 |
|
659 |
637 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
206 |
$1K |
| 99307 |
|
306 |
300 |
$576.82 |
| 99347 |
|
80 |
73 |
$510.52 |
| 17003 |
|
469 |
465 |
$405.60 |
| 11056 |
|
114 |
114 |
$176.06 |
| 99335 |
|
122 |
117 |
$48.61 |
| 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 |
28 |
14 |
$0.00 |
| 11057 |
|
13 |
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 |
28 |
14 |
$0.00 |