| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,068 |
5,678 |
$162K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,254 |
2,357 |
$116K |
| 11721 |
|
16,838 |
12,687 |
$110K |
| 99307 |
|
8,613 |
7,054 |
$51K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
800 |
585 |
$30K |
| 99304 |
|
2,699 |
2,061 |
$27K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
865 |
325 |
$22K |
| 99215 |
Prolong outpt/office vis |
287 |
209 |
$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 |
906 |
339 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,684 |
1,141 |
$12K |
| 73630 |
|
573 |
234 |
$4K |
| 11056 |
|
339 |
189 |
$2K |
| 17110 |
|
52 |
25 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
144 |
99 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
12 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
39 |
30 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
53 |
24 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
852 |
661 |
$914.34 |
| 99347 |
|
87 |
62 |
$753.53 |
| 90688 |
|
65 |
51 |
$657.19 |
| 97763 |
|
21 |
14 |
$513.86 |
| 11055 |
|
141 |
71 |
$496.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
29 |
$362.78 |
| G0008 |
Administration of influenza virus vaccine |
51 |
40 |
$361.56 |
| 97760 |
|
21 |
14 |
$331.27 |
| 96127 |
|
102 |
76 |
$285.44 |
| 90686 |
|
18 |
18 |
$280.71 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
31 |
24 |
$213.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
34 |
$199.78 |
| 99334 |
|
43 |
36 |
$197.22 |
| 99497 |
|
48 |
36 |
$157.21 |
| 11720 |
|
46 |
36 |
$82.16 |
| 81003 |
|
56 |
38 |
$48.21 |
| 96160 |
|
48 |
36 |
$10.52 |
| 1100F |
|
20 |
13 |
$0.00 |
| 1101F |
|
151 |
82 |
$0.00 |
| 1123F |
|
326 |
203 |
$0.00 |