| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,748 |
10,930 |
$207K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,237 |
2,368 |
$131K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
3,390 |
1,230 |
$60K |
| 73630 |
|
3,643 |
1,955 |
$45K |
| 11721 |
|
6,894 |
4,082 |
$30K |
| 11056 |
|
2,330 |
1,401 |
$23K |
| 73620 |
|
1,820 |
789 |
$14K |
| 76000 |
|
2,036 |
1,367 |
$10K |
| 73610 |
|
681 |
401 |
$10K |
| 11055 |
|
771 |
438 |
$6K |
| 11730 |
|
17 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
76 |
$1K |
| 20550 |
|
65 |
40 |
$1K |
| 11719 |
|
405 |
339 |
$708.60 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
537 |
$202.78 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
254 |
150 |
$101.32 |
| 99024 |
|
616 |
288 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
19 |
13 |
$0.00 |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
24 |
12 |
$0.00 |