| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,930 |
8,668 |
$353K |
| 73630 |
|
7,254 |
4,045 |
$121K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,854 |
1,694 |
$84K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
646 |
297 |
$79K |
| 73620 |
|
833 |
453 |
$13K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
490 |
257 |
$10K |
| 97750 |
|
226 |
213 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
313 |
273 |
$6K |
| 99223 |
Prolong inpt eval add15 m |
43 |
40 |
$2K |
| 29580 |
|
74 |
37 |
$2K |
| 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 |
24 |
12 |
$2K |
| 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 |
13 |
13 |
$2K |
| 97760 |
|
42 |
36 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
30 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
38 |
38 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$930.82 |
| 76881 |
|
12 |
12 |
$726.07 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
15 |
12 |
$690.56 |
| 29540 |
|
13 |
12 |
$380.30 |
| 11721 |
|
45 |
36 |
$365.89 |
| 73600 |
|
20 |
12 |
$311.36 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
48 |
45 |
$96.31 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
392 |
333 |
$52.72 |
| 11045 |
|
15 |
13 |
$50.79 |
| 99024 |
|
645 |
436 |
$0.00 |