| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,393 |
7,132 |
$212K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
614 |
220 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
582 |
491 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
756 |
618 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
576 |
440 |
$24K |
| 11056 |
|
1,457 |
1,000 |
$21K |
| 11720 |
|
2,518 |
1,817 |
$17K |
| 11721 |
|
2,153 |
1,627 |
$16K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
715 |
320 |
$10K |
| 73630 |
|
853 |
461 |
$9K |
| 76942 |
|
51 |
29 |
$2K |
| 11750 |
|
35 |
12 |
$2K |
| 20550 |
|
56 |
27 |
$1K |
| 17110 |
|
14 |
12 |
$862.23 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
154 |
37 |
$720.00 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
24 |
12 |
$435.08 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
166 |
112 |
$400.44 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
260 |
183 |
$59.78 |