| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,694 |
7,609 |
$192K |
| 11721 |
|
4,869 |
4,859 |
$98K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,124 |
719 |
$75K |
| 99243 |
|
574 |
567 |
$49K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
110 |
55 |
$35K |
| 11056 |
|
1,473 |
1,465 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
369 |
351 |
$20K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
138 |
138 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
193 |
$8K |
| 11055 |
|
375 |
370 |
$3K |
| 11730 |
|
115 |
115 |
$3K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 |
33 |
17 |
$891.99 |
| 11720 |
|
53 |
53 |
$410.00 |
| 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 |
42 |
21 |
$409.60 |
| 11719 |
|
24 |
24 |
$60.22 |