| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
264 |
148 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
987 |
$32K |
| 11721 |
|
1,826 |
1,656 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
255 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
229 |
$12K |
| 73630 |
|
278 |
197 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
180 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
187 |
119 |
$3K |
| 11056 |
|
412 |
343 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
41 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
38 |
38 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
57 |
$967.74 |
| 99402 |
|
12 |
12 |
$169.60 |
| 94760 |
|
30 |
30 |
$63.84 |