| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,994 |
8,926 |
$275K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,814 |
3,674 |
$207K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
300 |
150 |
$68K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
857 |
438 |
$31K |
| 73620 |
|
1,960 |
1,411 |
$24K |
| 11721 |
|
2,542 |
2,442 |
$17K |
| 95943 |
|
210 |
202 |
$15K |
| 73630 |
|
905 |
629 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
285 |
$12K |
| 97597 |
|
391 |
327 |
$9K |
| 11750 |
|
55 |
37 |
$4K |
| 93922 |
|
210 |
202 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
27 |
$3K |
| 76881 |
|
74 |
63 |
$3K |
| 95927 |
|
210 |
202 |
$3K |
| 20550 |
|
33 |
24 |
$708.00 |
| 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 |
18 |
15 |
$609.60 |
| 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 |
31 |
28 |
$582.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$355.14 |
| 93923 |
|
20 |
18 |
$215.31 |
| 95923 |
|
26 |
19 |
$209.34 |
| J1020 |
Injection, methylprednisolone acetate, 20 mg |
51 |
44 |
$131.42 |
| 94760 |
|
67 |
64 |
$11.22 |
| G8410 |
Footwear evaluation performed and documented |
74 |
67 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
74 |
67 |
$0.00 |
| 2028F |
|
13 |
12 |
$0.00 |