| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,491 |
1,491 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,111 |
2,051 |
$148K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,851 |
1,603 |
$113K |
| 11043 |
|
805 |
558 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,432 |
2,121 |
$88K |
| 73630 |
|
2,391 |
1,633 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
623 |
623 |
$33K |
| 11721 |
|
555 |
554 |
$7K |
| 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 |
20 |
12 |
$670.36 |