| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,329 |
2,011 |
$111K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
454 |
454 |
$62K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
679 |
678 |
$61K |
| 11750 |
|
228 |
210 |
$45K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
715 |
385 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
266 |
259 |
$22K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
35 |
33 |
$14K |
| 73630 |
|
718 |
612 |
$12K |
| 11721 |
|
766 |
764 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
389 |
366 |
$5K |
| 20550 |
|
60 |
59 |
$3K |
| 11056 |
|
91 |
91 |
$2K |
| 11055 |
|
102 |
102 |
$1K |
| 11720 |
|
25 |
24 |
$288.09 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
47 |
$185.44 |