| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
681 |
608 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
363 |
359 |
$15K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
25 |
13 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
332 |
315 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
40 |
25 |
$2K |
| 73630 |
|
75 |
62 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$1K |
| 11721 |
|
58 |
58 |
$781.89 |
| 11720 |
|
13 |
13 |
$97.68 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$40.00 |