| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,530 |
26,011 |
$1.40M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
10,806 |
10,801 |
$850K |
| 73630 |
|
19,238 |
12,916 |
$517K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
5,569 |
2,990 |
$491K |
| 11721 |
|
12,972 |
12,935 |
$224K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,268 |
4,218 |
$113K |
| 93922 |
|
2,446 |
2,445 |
$99K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
303 |
303 |
$82K |
| 11056 |
|
3,222 |
3,200 |
$78K |
| 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 |
2,587 |
1,425 |
$77K |
| 29540 |
|
5,280 |
4,113 |
$63K |
| L1930 |
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment |
513 |
474 |
$56K |
| 76942 |
|
906 |
869 |
$51K |
| 20551 |
|
1,463 |
1,174 |
$47K |
| L2112 |
Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, soft, prefabricated, includes fitting and adjustment |
166 |
163 |
$43K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
1,923 |
1,164 |
$33K |
| 11750 |
|
322 |
273 |
$30K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
3,243 |
3,067 |
$21K |
| 93923 |
|
144 |
144 |
$11K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
168 |
154 |
$9K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
185 |
104 |
$9K |
| 73620 |
|
369 |
353 |
$9K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
259 |
232 |
$8K |
| 76882 |
|
179 |
174 |
$6K |
| 17110 |
|
73 |
63 |
$5K |
| 97032 |
|
209 |
190 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
191 |
188 |
$2K |
| 20605 |
|
49 |
45 |
$2K |
| 97597 |
|
45 |
43 |
$1K |
| 99406 |
|
116 |
113 |
$1K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
139 |
137 |
$149.32 |
| 64450 |
|
16 |
12 |
$140.16 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
130 |
126 |
$14.43 |
| A4550 |
Surgical trays |
165 |
163 |
$0.00 |