| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,482 |
7,641 |
$126K |
| 99222 |
Initial hospital care, per day, moderate complexity |
1,018 |
818 |
$40K |
| 93922 |
|
1,927 |
1,608 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
441 |
372 |
$20K |
| 11721 |
|
2,534 |
1,726 |
$18K |
| 11056 |
|
2,332 |
1,577 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
236 |
$14K |
| 99221 |
|
472 |
374 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
626 |
512 |
$9K |
| 93971 |
|
177 |
131 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
960 |
659 |
$8K |
| 11043 |
|
140 |
76 |
$7K |
| L5679 |
Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric, or equal, with or without perforations, with or without breathable material, not for use with locking mechanism |
26 |
13 |
$6K |
| L5704 |
Custom shaped protective cover, below knee |
33 |
26 |
$5K |
| L5645 |
Addition to lower extremity, below knee, flexible inner socket, external frame |
19 |
15 |
$5K |
| L5620 |
Addition to lower extremity, test socket, below knee |
19 |
15 |
$3K |
| L5940 |
Addition, endoskeletal system, below knee, ultra-light material (titanium, carbon fiber or equal) |
19 |
15 |
$3K |
| 99205 |
Prolong outpt/office vis |
25 |
24 |
$3K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
15 |
15 |
$3K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
226 |
87 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
131 |
78 |
$2K |
| L5910 |
Addition, endoskeletal system, below knee, alignable system |
19 |
15 |
$2K |
| L5629 |
Addition to lower extremity, below knee, acrylic socket |
19 |
15 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
143 |
89 |
$2K |
| 73630 |
|
181 |
124 |
$2K |
| L5637 |
Addition to lower extremity, below knee, total contact |
19 |
15 |
$2K |
| L8420 |
Prosthetic sock, multiple ply, below knee, each |
38 |
29 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
40 |
40 |
$2K |
| L5685 |
Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each |
18 |
12 |
$1K |
| L8440 |
Prosthetic shrinker, below knee, each |
36 |
28 |
$1K |
| L8400 |
Prosthetic sheath, below knee, each |
35 |
27 |
$1K |
| 93880 |
|
42 |
36 |
$879.31 |
| 93990 |
|
63 |
52 |
$694.28 |
| 75625 |
|
17 |
12 |
$504.23 |
| L8470 |
Prosthetic sock, single ply, fitting, below knee, each |
36 |
28 |
$395.02 |
| 95982 |
|
29 |
25 |
$222.85 |
| 76937 |
|
15 |
13 |
$73.01 |