| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,429 |
3,076 |
$57K |
| 73630 |
|
5,472 |
2,643 |
$49K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,430 |
940 |
$35K |
| 11721 |
|
4,648 |
2,863 |
$28K |
| 11056 |
|
2,768 |
1,581 |
$25K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
946 |
475 |
$23K |
| 11730 |
|
650 |
395 |
$10K |
| 64450 |
|
395 |
251 |
$9K |
| 11750 |
|
151 |
75 |
$9K |
| 11720 |
|
1,750 |
985 |
$6K |
| 11057 |
|
107 |
61 |
$2K |
| 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 |
104 |
39 |
$1K |
| G0127 |
Trimming of dystrophic nails, any number |
1,533 |
840 |
$924.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
66 |
$625.61 |
| 11421 |
|
13 |
12 |
$486.69 |
| 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 |
101 |
38 |
$357.80 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
147 |
100 |
$92.76 |