| Code | Description | Claims | Beneficiaries | Total Paid |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
710 |
462 |
$25K |
| 11721 |
|
1,318 |
975 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
694 |
516 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
141 |
98 |
$1K |
| 73630 |
|
63 |
43 |
$1K |
| 11056 |
|
21 |
12 |
$133.64 |
| G8404 |
Lower extremity neurological exam performed and documented |
499 |
356 |
$0.03 |
| G8410 |
Footwear evaluation performed and documented |
351 |
271 |
$0.03 |
| G8421 |
Bmi not documented and no reason is given |
322 |
237 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
19 |
13 |
$0.00 |