| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,506 |
48,872 |
$3.79M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28,788 |
28,760 |
$2.80M |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18,141 |
18,132 |
$1.19M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18,679 |
17,932 |
$882K |
| 99442 |
|
8,905 |
8,654 |
$535K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,597 |
1,088 |
$342K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
2,076 |
2,052 |
$290K |
| 10060 |
|
1,574 |
1,544 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,868 |
1,823 |
$161K |
| 99385 |
|
1,473 |
1,472 |
$160K |
| 11721 |
|
4,762 |
4,710 |
$146K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,154 |
1,153 |
$131K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
2,979 |
611 |
$129K |
| 93880 |
|
1,124 |
1,102 |
$118K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
3,382 |
756 |
$116K |
| 99386 |
|
894 |
894 |
$110K |
| 90791 |
Psychiatric diagnostic evaluation |
623 |
566 |
$85K |
| 17110 |
|
1,120 |
983 |
$82K |
| 99441 |
|
2,290 |
2,288 |
$77K |
| 10061 |
|
402 |
378 |
$76K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
1,518 |
450 |
$61K |
| 11043 |
|
275 |
72 |
$58K |
| L1970 |
Ankle foot orthosis, plastic with ankle joint, custom fabricated |
109 |
71 |
$58K |
| 11056 |
|
1,306 |
1,298 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
659 |
659 |
$52K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,858 |
446 |
$52K |
| 17111 |
|
474 |
414 |
$51K |
| 93978 |
|
381 |
381 |
$41K |
| 11730 |
|
391 |
382 |
$39K |
| 93922 |
|
583 |
582 |
$35K |
| 11755 |
|
314 |
308 |
$31K |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
2,423 |
524 |
$30K |
| L2275 |
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined |
410 |
256 |
$27K |
| 93000 |
|
2,485 |
2,482 |
$25K |
| 29540 |
|
1,315 |
1,133 |
$25K |
| 76536 |
|
387 |
386 |
$24K |
| L1907 |
Ankle orthosis, supramalleolar with straps, with or without interface/pads, custom fabricated |
76 |
39 |
$23K |
| L2820 |
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section |
300 |
172 |
$17K |
| 99401 |
|
550 |
486 |
$15K |
| 73630 |
|
452 |
391 |
$12K |
| 99443 |
|
138 |
138 |
$11K |
| 11720 |
|
655 |
652 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
29 |
29 |
$11K |
| 92553 |
|
673 |
672 |
$11K |
| 11306 |
|
118 |
98 |
$10K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
127 |
83 |
$8K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
79 |
79 |
$8K |
| 97597 |
|
91 |
91 |
$6K |
| 11057 |
|
105 |
103 |
$6K |
| 94060 |
|
199 |
198 |
$6K |
| L3332 |
Lift, elevation, inside shoe, tapered, up to one-half inch |
149 |
84 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
50 |
$5K |
| 99347 |
|
228 |
224 |
$5K |
| 93975 |
|
26 |
26 |
$5K |
| 97035 |
|
345 |
53 |
$4K |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
33 |
33 |
$4K |
| L3010 |
Foot, insert, removable, molded to patient model, longitudinal arch support, each |
37 |
25 |
$4K |
| 99492 |
|
73 |
71 |
$3K |
| 99493 |
|
29 |
28 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,183 |
1,104 |
$3K |
| L3215 |
Orthopedic footwear, ladies shoe, oxford, each |
29 |
29 |
$3K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
34 |
17 |
$3K |
| 92100 |
|
33 |
33 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
15 |
13 |
$3K |
| 99484 |
|
52 |
46 |
$2K |
| 97124 |
|
102 |
50 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
97 |
95 |
$2K |
| 81000 |
|
741 |
740 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
199 |
96 |
$2K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
54 |
27 |
$2K |
| 11750 |
|
13 |
12 |
$2K |
| 73620 |
|
108 |
81 |
$1K |
| 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 |
13 |
13 |
$1K |
| 97162 |
|
12 |
12 |
$900.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
18 |
17 |
$814.14 |
| 99051 |
|
246 |
204 |
$806.75 |
| L3202 |
Orthopedic shoe, oxford with supinator or pronator, child |
16 |
16 |
$792.00 |
| 76881 |
|
14 |
14 |
$743.12 |
| 99490 |
Ccm add 20min |
38 |
38 |
$705.37 |
| 97164 |
|
15 |
12 |
$659.44 |
| 99406 |
|
55 |
55 |
$589.59 |
| 90832 |
Psychotherapy, 30 minutes with patient |
19 |
15 |
$571.83 |
| 29550 |
|
26 |
26 |
$537.84 |
| 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 |
13 |
13 |
$495.30 |
| 77077 |
|
15 |
15 |
$476.46 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
53 |
47 |
$400.00 |
| 99348 |
|
28 |
28 |
$333.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,752 |
2,156 |
$331.50 |
| 92587 |
|
12 |
12 |
$319.32 |
| 96131 |
|
212 |
203 |
$142.54 |
| 96130 |
|
716 |
706 |
$101.36 |
| 90845 |
|
21 |
17 |
$79.28 |
| 87070 |
|
13 |
13 |
$74.88 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
29 |
29 |
$69.30 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
13 |
12 |
$66.10 |
| 87184 |
|
13 |
13 |
$60.58 |
| 96127 |
|
12 |
12 |
$55.08 |
| 88312 |
|
28 |
28 |
$49.54 |
| 99407 |
|
585 |
575 |
$24.39 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
25 |
24 |
$23.26 |
| 97022 |
|
12 |
12 |
$17.31 |
| 36415 |
Collection of venous blood by venipuncture |
1,160 |
1,141 |
$12.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
41 |
$4.18 |
| 94760 |
|
210 |
163 |
$0.55 |
| 99408 |
|
37 |
36 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
13 |
13 |
$0.00 |
| 99072 |
|
59 |
52 |
$0.00 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
418 |
188 |
$0.00 |
| 97802 |
|
106 |
85 |
$0.00 |
| 99000 |
|
185 |
179 |
$0.00 |
| 99422 |
|
32 |
26 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
68 |
52 |
$0.00 |
| 90686 |
|
16 |
16 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |