| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
688 |
362 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,051 |
2,767 |
$77K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,544 |
1,455 |
$54K |
| 73630 |
|
1,762 |
1,308 |
$35K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
572 |
392 |
$24K |
| 11721 |
|
1,134 |
1,125 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
124 |
113 |
$8K |
| 20600 |
|
147 |
113 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
152 |
$3K |
| 11750 |
|
28 |
16 |
$2K |
| 29799 |
|
44 |
19 |
$1K |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
199 |
145 |
$599.65 |