| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,357 |
4,605 |
$138K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,568 |
1,347 |
$85K |
| 73630 |
|
2,531 |
1,765 |
$39K |
| 11721 |
|
2,935 |
2,564 |
$32K |
| 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 |
636 |
396 |
$20K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 |
149 |
106 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
153 |
124 |
$6K |
| 99243 |
|
64 |
55 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
227 |
121 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$1K |
| 11056 |
|
137 |
122 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
21 |
12 |
$640.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
19 |
$323.17 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
51 |
49 |
$106.97 |
| 99072 |
|
488 |
391 |
$12.50 |
| 888888 |
|
67 |
60 |
$0.00 |