| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,010 |
6,481 |
$389K |
| 17110 |
|
1,772 |
1,717 |
$184K |
| 29580 |
|
2,974 |
1,890 |
$132K |
| 11056 |
|
1,784 |
1,764 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
991 |
987 |
$100K |
| 11721 |
|
1,921 |
1,911 |
$64K |
| 17000 |
|
1,611 |
1,558 |
$58K |
| 73620 |
|
2,489 |
1,997 |
$50K |
| 97597 |
|
322 |
226 |
$20K |
| 11750 |
|
144 |
102 |
$18K |
| 20550 |
|
307 |
252 |
$13K |
| 28043 |
|
36 |
36 |
$12K |
| 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 |
78 |
75 |
$8K |
| 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 |
90 |
86 |
$6K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
198 |
85 |
$5K |
| 29540 |
|
252 |
200 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
95 |
86 |
$3K |
| 11104 |
|
36 |
36 |
$2K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
32 |
16 |
$1K |
| 20605 |
|
30 |
27 |
$1K |
| 99080 |
|
99 |
25 |
$0.00 |
| 76000 |
|
33 |
27 |
$0.00 |