| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,253 |
6,251 |
$318K |
| 93925 |
|
1,685 |
1,595 |
$208K |
| 93970 |
|
1,762 |
1,658 |
$195K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,681 |
1,313 |
$136K |
| 93922 |
|
493 |
475 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
598 |
138 |
$21K |
| 11720 |
|
2,703 |
2,500 |
$19K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
51 |
49 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
277 |
$14K |
| 93923 |
|
71 |
67 |
$6K |
| 99221 |
|
28 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
49 |
$992.49 |
| 11055 |
|
30 |
25 |
$313.29 |
| 11057 |
|
13 |
12 |
$269.19 |