| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,620 |
1,539 |
$111K |
| 11056 |
|
2,930 |
2,543 |
$75K |
| 11721 |
|
3,761 |
3,365 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,760 |
1,623 |
$56K |
| 11750 |
|
250 |
219 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
522 |
479 |
$24K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
132 |
72 |
$8K |
| 11057 |
|
269 |
207 |
$7K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
25 |
24 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| 73630 |
|
29 |
24 |
$623.56 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
12 |
$497.76 |
| 73620 |
|
20 |
13 |
$300.54 |
| 99024 |
|
152 |
94 |
$0.00 |