| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,213 |
6,281 |
$231K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,268 |
1,184 |
$32K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
2,816 |
1,261 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
339 |
313 |
$17K |
| 11721 |
|
1,268 |
1,227 |
$11K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
52 |
25 |
$7K |
| 73630 |
|
611 |
463 |
$7K |
| 29581 |
|
434 |
179 |
$6K |
| 99243 |
|
13 |
13 |
$897.38 |
| 73610 |
|
38 |
27 |
$501.60 |
| 97597 |
|
40 |
12 |
$254.48 |