| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
2,057 |
942 |
$420K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,458 |
12,703 |
$357K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,943 |
3,372 |
$155K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,517 |
2,330 |
$128K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,335 |
4,486 |
$82K |
| 11056 |
|
4,938 |
4,177 |
$36K |
| G0127 |
Trimming of dystrophic nails, any number |
7,428 |
6,300 |
$33K |
| 73630 |
|
2,321 |
1,651 |
$33K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
1,049 |
505 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,068 |
616 |
$23K |
| 11720 |
|
4,580 |
3,788 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
312 |
279 |
$23K |
| 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 |
373 |
235 |
$14K |
| 11719 |
|
4,399 |
3,624 |
$10K |
| 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 |
122 |
77 |
$8K |
| 11057 |
|
911 |
717 |
$6K |
| 11750 |
|
29 |
24 |
$3K |
| 17110 |
|
119 |
92 |
$2K |
| 20550 |
|
59 |
39 |
$1K |
| 99442 |
|
30 |
30 |
$893.80 |
| 11055 |
|
129 |
118 |
$476.54 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
23 |
16 |
$466.40 |
| 99441 |
|
41 |
41 |
$423.82 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
99 |
79 |
$98.30 |
| 11721 |
|
17 |
13 |
$89.82 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
55 |
37 |
$12.56 |