| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,089 |
24,319 |
$1.31M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
5,341 |
5,235 |
$415K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,373 |
3,741 |
$299K |
| 73630 |
|
11,376 |
7,056 |
$223K |
| 11721 |
|
11,912 |
11,458 |
$211K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,478 |
1,422 |
$160K |
| 88312 |
|
876 |
864 |
$152K |
| 76882 |
|
3,773 |
2,971 |
$104K |
| 88381 |
|
832 |
809 |
$66K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
996 |
976 |
$60K |
| 76942 |
|
1,422 |
1,275 |
$58K |
| 11755 |
|
1,288 |
655 |
$55K |
| 88313 |
|
876 |
864 |
$54K |
| 99205 |
Prolong outpt/office vis |
303 |
286 |
$43K |
| 87799 |
|
783 |
763 |
$41K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
160 |
137 |
$34K |
| 73610 |
|
1,372 |
922 |
$33K |
| 93923 |
|
443 |
433 |
$31K |
| 20550 |
|
378 |
308 |
$21K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
1,018 |
927 |
$14K |
| 11056 |
|
641 |
597 |
$13K |
| 73620 |
|
573 |
353 |
$12K |
| 64450 |
|
214 |
189 |
$12K |
| 99215 |
Prolong outpt/office vis |
129 |
116 |
$11K |
| 76881 |
|
141 |
106 |
$10K |
| 95923 |
|
197 |
195 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
332 |
310 |
$9K |
| 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 |
36 |
36 |
$7K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
67 |
52 |
$6K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
50 |
38 |
$5K |
| 11750 |
|
49 |
41 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
427 |
375 |
$5K |
| 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 |
34 |
26 |
$4K |
| 88311 |
|
327 |
323 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,299 |
1,174 |
$3K |
| 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 |
52 |
26 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
58 |
27 |
$2K |
| 73600 |
|
99 |
73 |
$2K |
| 29540 |
|
55 |
53 |
$1K |
| 20606 |
|
14 |
13 |
$966.00 |
| 20604 |
|
12 |
12 |
$682.45 |
| 11055 |
|
38 |
38 |
$581.11 |
| 64455 |
|
25 |
24 |
$571.97 |
| 11305 |
|
21 |
14 |
$508.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,145 |
1,043 |
$392.15 |
| 11057 |
|
14 |
14 |
$383.03 |
| 99305 |
|
13 |
13 |
$276.71 |