| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,673 |
12,956 |
$701K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
7,960 |
7,948 |
$590K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
955 |
946 |
$271K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,391 |
6,015 |
$237K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
1,026 |
1,026 |
$138K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,147 |
1,139 |
$136K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,465 |
1,422 |
$111K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
1,056 |
1,051 |
$105K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
491 |
490 |
$54K |
| 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 |
951 |
525 |
$36K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
878 |
484 |
$33K |
| 11721 |
|
1,133 |
1,124 |
$16K |
| 17110 |
|
135 |
125 |
$10K |
| 11750 |
|
39 |
36 |
$6K |
| 76882 |
|
120 |
117 |
$5K |
| 11056 |
|
156 |
156 |
$4K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
49 |
39 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,178 |
1,169 |
$2K |
| H0001 |
Alcohol and/or drug assessment |
1,055 |
1,048 |
$702.35 |
| 0031A |
|
18 |
18 |
$627.34 |
| 99051 |
|
205 |
196 |
$590.82 |
| 20600 |
|
14 |
13 |
$293.02 |
| H0049 |
Alcohol and/or drug screening |
835 |
825 |
$261.57 |
| 29540 |
|
13 |
13 |
$224.48 |
| 11055 |
|
12 |
12 |
$170.98 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$43.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
1,180 |
1,173 |
$13.50 |
| 1000F |
|
1,240 |
1,231 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
1,022 |
1,016 |
$0.00 |
| 1036F |
|
1,117 |
1,108 |
$0.00 |
| 1101F |
|
54 |
52 |
$0.00 |
| 3016F |
|
1,058 |
1,051 |
$0.00 |
| 3288F |
|
54 |
52 |
$0.00 |
| 3725F |
|
1,476 |
1,464 |
$0.00 |
| 2028F |
|
18 |
17 |
$0.00 |
| 1100F |
|
44 |
43 |
$0.00 |