| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11730 |
|
2,456 |
2,447 |
$64K |
| 11057 |
|
4,040 |
4,015 |
$57K |
| 11721 |
|
4,248 |
4,210 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,783 |
4,487 |
$38K |
| 10060 |
|
457 |
449 |
$13K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
228 |
204 |
$7K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
108 |
108 |
$5K |
| 10061 |
|
124 |
122 |
$4K |
| 99307 |
|
281 |
280 |
$2K |
| 11056 |
|
86 |
86 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$881.04 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
21 |
$152.49 |
| 99348 |
|
12 |
12 |
$102.47 |
| 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 |
108 |
108 |
$0.00 |