| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,215 |
4,995 |
$178K |
| Q4186 |
Epifix, per square centimeter (add-on, list separately in addition to primary procedure) |
60 |
12 |
$159K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,045 |
1,120 |
$85K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
205 |
104 |
$67K |
| 17110 |
|
534 |
484 |
$36K |
| 11721 |
|
1,261 |
1,250 |
$26K |
| 29540 |
|
1,288 |
636 |
$22K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
158 |
59 |
$18K |
| 99199 |
Unlisted special service, procedure or report |
16 |
12 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
71 |
$5K |
| 73630 |
|
312 |
223 |
$4K |
| 15275 |
|
60 |
12 |
$3K |
| 20605 |
|
190 |
98 |
$3K |
| 95851 |
|
45 |
44 |
$969.75 |
| 95831 |
|
33 |
32 |
$711.15 |