| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,875 |
17,602 |
$682K |
| 11721 |
|
12,596 |
11,339 |
$135K |
| 11307 |
|
2,622 |
1,980 |
$133K |
| 11308 |
|
1,810 |
1,244 |
$103K |
| 88312 |
|
1,352 |
1,231 |
$94K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,349 |
1,231 |
$81K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
1,497 |
1,360 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,368 |
1,182 |
$59K |
| 11306 |
|
799 |
579 |
$39K |
| 88311 |
|
1,022 |
928 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
753 |
669 |
$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 |
720 |
342 |
$13K |
| 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 |
464 |
219 |
$12K |
| 11305 |
|
394 |
309 |
$10K |
| 11056 |
|
802 |
689 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
95 |
$6K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
59 |
18 |
$5K |
| 11423 |
|
51 |
44 |
$2K |
| 99243 |
|
24 |
24 |
$2K |
| 77077 |
|
57 |
54 |
$2K |
| 11422 |
|
63 |
49 |
$1K |
| 11755 |
|
24 |
12 |
$1K |
| 11750 |
|
22 |
16 |
$1K |
| 87481 |
|
29 |
15 |
$1K |
| 99334 |
|
30 |
18 |
$1K |
| 87640 |
|
43 |
29 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
43 |
29 |
$1K |
| 87653 |
|
43 |
29 |
$1K |
| 87551 |
|
18 |
17 |
$978.38 |
| 29540 |
|
59 |
45 |
$541.72 |
| 11057 |
|
13 |
13 |
$489.16 |
| A4550 |
Surgical trays |
75 |
66 |
$478.15 |
| 87581 |
|
18 |
17 |
$395.33 |
| 87529 |
|
14 |
14 |
$364.92 |
| 73620 |
|
45 |
28 |
$335.44 |
| 99348 |
|
148 |
122 |
$310.35 |
| 11730 |
|
19 |
17 |
$192.34 |
| 20550 |
|
14 |
12 |
$117.33 |
| 73630 |
|
14 |
12 |
$104.62 |
| 87220 |
|
28 |
28 |
$92.75 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
161 |
140 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
175 |
155 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
45 |
42 |
$0.00 |
| G0452 |
Molecular pathology procedure; physician interpretation and report |
12 |
12 |
$0.00 |