| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,579 |
4,660 |
$283K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,743 |
1,655 |
$116K |
| 73630 |
|
1,989 |
1,442 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
273 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
249 |
232 |
$23K |
| 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 |
77 |
39 |
$7K |
| 17110 |
|
60 |
52 |
$5K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
55 |
39 |
$5K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
12 |
12 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
18 |
13 |
$656.09 |
| 11720 |
|
16 |
12 |
$129.06 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$4.17 |