| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,746 |
7,815 |
$316K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,870 |
5,060 |
$280K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,452 |
706 |
$177K |
| 73630 |
|
8,035 |
5,156 |
$131K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
1,083 |
569 |
$111K |
| 11307 |
|
1,445 |
1,193 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,089 |
1,040 |
$73K |
| Q4037 |
Cast supplies, short leg cast, adult (11 years +), plaster |
5,370 |
3,423 |
$55K |
| 29405 |
|
919 |
475 |
$55K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
226 |
217 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
845 |
804 |
$39K |
| 11308 |
|
487 |
409 |
$35K |
| 29580 |
|
1,804 |
988 |
$32K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
323 |
166 |
$27K |
| 11306 |
|
669 |
538 |
$27K |
| 11721 |
|
1,874 |
1,776 |
$25K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
28 |
28 |
$13K |
| 76942 |
|
255 |
196 |
$11K |
| 20550 |
|
367 |
201 |
$10K |
| 29581 |
|
731 |
439 |
$7K |
| 76882 |
|
373 |
268 |
$6K |
| 14040 |
|
16 |
13 |
$5K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,154 |
1,613 |
$3K |
| 28002 |
|
14 |
14 |
$2K |
| 11305 |
|
94 |
58 |
$2K |
| 20005 |
|
16 |
12 |
$2K |
| 11730 |
|
43 |
41 |
$2K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
36 |
26 |
$2K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
38 |
19 |
$1K |
| 20606 |
|
31 |
13 |
$1K |
| 93923 |
|
14 |
13 |
$749.60 |
| 11056 |
|
32 |
28 |
$509.92 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
17 |
12 |
$470.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$294.03 |
| A6443 |
Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard |
28 |
28 |
$96.60 |
| 11720 |
|
13 |
12 |
$88.14 |
| A4450 |
Tape, non-waterproof, per 18 square inches |
28 |
28 |
$86.48 |
| A6402 |
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
28 |
28 |
$57.60 |
| G0127 |
Trimming of dystrophic nails, any number |
13 |
12 |
$23.00 |
| 99072 |
|
396 |
303 |
$0.00 |