| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,243 |
6,601 |
$173K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
875 |
707 |
$51K |
| 11721 |
|
12,929 |
8,951 |
$44K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
886 |
711 |
$40K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
2,353 |
1,391 |
$24K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
706 |
105 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
605 |
452 |
$14K |
| 15004 |
|
91 |
61 |
$14K |
| 99335 |
|
2,780 |
1,744 |
$13K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
75 |
28 |
$6K |
| 99348 |
|
1,918 |
1,274 |
$5K |
| 11056 |
|
195 |
113 |
$3K |
| 15002 |
|
92 |
41 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
200 |
143 |
$3K |
| 97597 |
|
81 |
59 |
$2K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
17 |
15 |
$2K |
| 87149 |
|
46 |
24 |
$2K |
| 15271 |
|
40 |
30 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
261 |
167 |
$1K |
| 87653 |
|
241 |
155 |
$1K |
| 87640 |
|
239 |
154 |
$1K |
| 87481 |
|
241 |
153 |
$1K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
111 |
38 |
$1K |
| 11755 |
|
66 |
55 |
$920.56 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
35 |
25 |
$900.00 |
| 93923 |
|
44 |
13 |
$777.68 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
16 |
$732.77 |
| 15275 |
|
13 |
12 |
$508.61 |
| 99305 |
|
41 |
27 |
$343.77 |
| 64450 |
|
16 |
12 |
$339.51 |
| 11730 |
|
17 |
13 |
$305.38 |
| 99342 |
|
61 |
39 |
$266.16 |
| 99347 |
|
17 |
12 |
$63.55 |
| 99325 |
|
106 |
72 |
$50.28 |
| 99072 |
|
669 |
508 |
$0.00 |
| 87150 |
|
48 |
29 |
$0.00 |
| A4590 |
Special casting material (e.g., fiberglass) |
55 |
38 |
$0.00 |
| 87500 |
|
75 |
49 |
$0.00 |