| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,600 |
801 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,633 |
6,524 |
$193K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,841 |
717 |
$118K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,363 |
1,363 |
$109K |
| 11721 |
|
2,806 |
2,793 |
$67K |
| L3430 |
Heel, counter, plastic reinforced |
1,401 |
702 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
671 |
570 |
$39K |
| 11056 |
|
2,433 |
2,328 |
$38K |
| 11057 |
|
403 |
387 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
281 |
276 |
$5K |
| 11719 |
|
814 |
804 |
$5K |
| 17110 |
|
54 |
36 |
$5K |
| 11720 |
|
854 |
844 |
$3K |
| 11055 |
|
29 |
27 |
$114.74 |