| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,377 |
12,528 |
$445K |
| 11721 |
|
16,612 |
15,609 |
$312K |
| 93923 |
|
2,255 |
2,074 |
$154K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,715 |
2,561 |
$124K |
| 11056 |
|
5,350 |
4,986 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,869 |
1,595 |
$82K |
| 73620 |
|
4,212 |
1,931 |
$60K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
1,414 |
668 |
$44K |
| 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 |
1,340 |
602 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
543 |
462 |
$35K |
| 11755 |
|
560 |
527 |
$29K |
| 11057 |
|
908 |
847 |
$26K |
| 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 |
1,327 |
599 |
$20K |
| 97597 |
|
649 |
377 |
$17K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
243 |
118 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
653 |
604 |
$12K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
92 |
40 |
$7K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
391 |
277 |
$5K |
| 11055 |
|
111 |
104 |
$2K |
| 29540 |
|
112 |
85 |
$2K |
| 73600 |
|
108 |
57 |
$2K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
113 |
55 |
$1K |
| 11750 |
|
13 |
12 |
$1K |
| 93922 |
|
17 |
17 |
$872.99 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
15 |
13 |
$619.68 |
| 11720 |
|
35 |
28 |
$296.29 |