| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,624 |
6,770 |
$234K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,315 |
2,160 |
$137K |
| 29581 |
|
2,517 |
1,140 |
$101K |
| 73630 |
|
4,859 |
3,340 |
$72K |
| 11721 |
|
4,812 |
4,390 |
$60K |
| 97597 |
|
1,013 |
558 |
$16K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
71 |
65 |
$12K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
42 |
41 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
121 |
104 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
219 |
174 |
$4K |
| 11056 |
|
112 |
101 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
39 |
27 |
$1K |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
13 |
$788.49 |
| 11720 |
|
57 |
53 |
$350.43 |
| 99221 |
|
14 |
12 |
$174.82 |
| 11055 |
|
28 |
24 |
$166.96 |
| L3260 |
Surgical boot/shoe, each |
14 |
12 |
$147.37 |
| A6222 |
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
32 |
15 |
$45.09 |