| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,543 |
11,007 |
$359K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,857 |
1,716 |
$106K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
4,114 |
2,046 |
$103K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
390 |
301 |
$80K |
| 73630 |
|
5,251 |
3,730 |
$71K |
| 11721 |
|
1,997 |
1,849 |
$32K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
77 |
75 |
$12K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
113 |
100 |
$9K |
| 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 |
130 |
113 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
106 |
$6K |
| 73610 |
|
375 |
303 |
$6K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
26 |
25 |
$5K |
| 99243 |
|
70 |
66 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
58 |
50 |
$3K |
| 99222 |
Initial hospital care, per day, moderate complexity |
56 |
50 |
$2K |