| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,370 |
3,093 |
$104K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,243 |
3,796 |
$81K |
| 11721 |
|
4,374 |
4,153 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
990 |
960 |
$44K |
| 20550 |
|
1,052 |
745 |
$40K |
| 73620 |
|
2,818 |
2,030 |
$40K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
151 |
102 |
$18K |
| 73630 |
|
886 |
684 |
$15K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
601 |
360 |
$9K |
| 17110 |
|
140 |
107 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
79 |
77 |
$6K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
95 |
80 |
$4K |
| 11720 |
|
636 |
571 |
$3K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
1,333 |
984 |
$1K |
| 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 |
12 |
12 |
$820.83 |
| 99304 |
|
13 |
12 |
$213.05 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$156.26 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
1,501 |
1,112 |
$146.43 |