| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,704 |
10,701 |
$475K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,708 |
4,329 |
$295K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,283 |
1,149 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,633 |
1,413 |
$105K |
| 11721 |
|
8,699 |
7,540 |
$92K |
| 11056 |
|
7,427 |
6,421 |
$82K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
1,393 |
721 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,123 |
1,922 |
$47K |
| 11750 |
|
424 |
348 |
$44K |
| 11720 |
|
5,493 |
4,632 |
$29K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,292 |
1,061 |
$15K |
| 11055 |
|
1,764 |
1,528 |
$13K |
| 11719 |
|
4,686 |
3,959 |
$11K |
| 11057 |
|
366 |
312 |
$7K |
| 20550 |
|
182 |
157 |
$6K |
| 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 |
221 |
99 |
$6K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
61 |
50 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
275 |
243 |
$5K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
24 |
12 |
$5K |
| 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 |
55 |
27 |
$5K |
| 17110 |
|
72 |
52 |
$5K |
| 11730 |
|
73 |
65 |
$4K |
| 99348 |
|
65 |
53 |
$1K |
| 97597 |
|
31 |
24 |
$1K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
26 |
24 |
$1K |
| 99307 |
|
198 |
175 |
$1K |
| 99335 |
|
31 |
26 |
$476.89 |
| 20600 |
|
15 |
12 |
$379.98 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
14 |
$26.11 |
| 3008F |
|
58 |
42 |
$0.00 |