| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,549 |
8,416 |
$499K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
68 |
24 |
$206K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,139 |
994 |
$95K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
595 |
350 |
$83K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
358 |
179 |
$74K |
| 11056 |
|
3,016 |
2,852 |
$70K |
| 11043 |
|
706 |
441 |
$56K |
| 11721 |
|
2,654 |
2,483 |
$22K |
| 15275 |
|
156 |
53 |
$16K |
| L3260 |
Surgical boot/shoe, each |
179 |
149 |
$12K |
| 64450 |
|
540 |
446 |
$10K |
| 11750 |
|
138 |
114 |
$9K |
| 97597 |
|
235 |
134 |
$8K |
| 29540 |
|
419 |
348 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
262 |
$3K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
24 |
24 |
$2K |
| 99245 |
|
13 |
13 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
41 |
12 |
$1K |
| 73630 |
|
81 |
49 |
$571.25 |