| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,655 |
8,839 |
$268K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,931 |
1,744 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,657 |
1,583 |
$76K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
513 |
250 |
$47K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
642 |
599 |
$41K |
| 11721 |
|
1,809 |
1,692 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,286 |
1,191 |
$23K |
| 73620 |
|
1,503 |
1,055 |
$21K |
| 17110 |
|
266 |
216 |
$14K |
| 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 |
108 |
51 |
$2K |
| 29580 |
|
133 |
99 |
$2K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
69 |
13 |
$2K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
62 |
16 |
$1K |
| 73600 |
|
16 |
12 |
$242.64 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
14 |
12 |
$120.57 |
| 99024 |
|
78 |
56 |
$0.00 |