| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,966 |
1,292 |
$50K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
482 |
213 |
$35K |
| 11056 |
|
1,146 |
1,110 |
$16K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
56 |
26 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
94 |
$7K |
| 99348 |
|
668 |
617 |
$5K |
| 11750 |
|
140 |
136 |
$3K |
| 11721 |
|
397 |
395 |
$2K |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$1K |
| 99343 |
|
14 |
14 |
$458.96 |