| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,522 |
3,581 |
$110K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
739 |
677 |
$51K |
| 73630 |
|
1,671 |
1,443 |
$45K |
| 11057 |
|
1,636 |
1,475 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
882 |
675 |
$37K |
| 73610 |
|
1,127 |
1,006 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
815 |
755 |
$31K |
| 11721 |
|
2,426 |
2,162 |
$31K |
| 76942 |
|
492 |
394 |
$27K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
138 |
57 |
$19K |
| 76881 |
|
345 |
237 |
$17K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
74 |
67 |
$12K |
| 73620 |
|
623 |
551 |
$11K |
| 10060 |
|
289 |
241 |
$9K |
| 97597 |
|
409 |
325 |
$7K |
| 11056 |
|
242 |
232 |
$5K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
35 |
29 |
$5K |
| 11055 |
|
330 |
278 |
$4K |
| 17110 |
|
96 |
78 |
$4K |
| 64450 |
|
119 |
81 |
$4K |
| 93922 |
|
66 |
56 |
$2K |
| 11423 |
|
14 |
13 |
$2K |
| 76882 |
|
129 |
103 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
85 |
48 |
$1K |
| 20550 |
|
40 |
26 |
$1K |
| 20605 |
|
17 |
16 |
$383.65 |
| 11720 |
|
20 |
14 |
$0.00 |
| 95923 |
|
34 |
30 |
$0.00 |