| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L4210 |
Repair of orthotic device, repair or replace minor parts |
11,720 |
5,499 |
$1.66M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,718 |
16,341 |
$474K |
| 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 |
7,303 |
3,535 |
$293K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,735 |
5,533 |
$287K |
| 73630 |
|
13,150 |
7,014 |
$230K |
| 29540 |
|
6,927 |
6,504 |
$226K |
| 11721 |
|
9,490 |
9,031 |
$162K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,252 |
1,443 |
$158K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
468 |
233 |
$153K |
| 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 |
7,560 |
3,657 |
$135K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,741 |
1,699 |
$130K |
| L4205 |
Repair of orthotic device, labor component, per 15 minutes |
5,509 |
5,165 |
$89K |
| 97597 |
|
1,310 |
877 |
$54K |
| 11720 |
|
3,709 |
3,517 |
$50K |
| 29581 |
|
1,332 |
631 |
$36K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
425 |
328 |
$36K |
| A4580 |
Cast supplies (e.g., plaster) |
115 |
113 |
$31K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
2,012 |
1,741 |
$16K |
| 99072 |
|
791 |
659 |
$16K |
| 11765 |
|
224 |
126 |
$14K |
| 20605 |
|
269 |
237 |
$12K |
| 29799 |
|
79 |
79 |
$10K |
| 11056 |
|
307 |
290 |
$9K |
| 73610 |
|
325 |
183 |
$7K |
| G0127 |
Trimming of dystrophic nails, any number |
564 |
535 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
105 |
98 |
$6K |
| 20550 |
|
96 |
89 |
$5K |
| 11750 |
|
37 |
27 |
$5K |
| 73620 |
|
229 |
121 |
$5K |
| 11719 |
|
580 |
556 |
$4K |
| 97760 |
|
116 |
116 |
$3K |
| 64450 |
|
17 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
540 |
481 |
$763.22 |
| 11055 |
|
27 |
25 |
$543.48 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
16 |
12 |
$25.37 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
202 |
183 |
$7.28 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
98 |
89 |
$0.00 |