| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,278 |
1,428 |
$374K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,831 |
4,719 |
$239K |
| 11750 |
|
1,813 |
1,682 |
$195K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,548 |
5,970 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,049 |
3,716 |
$110K |
| 73620 |
|
4,039 |
2,122 |
$79K |
| 11721 |
|
4,468 |
4,334 |
$40K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
354 |
311 |
$32K |
| 87481 |
|
325 |
311 |
$20K |
| 11765 |
|
201 |
163 |
$6K |
| 87641 |
|
325 |
311 |
$5K |
| 87653 |
|
325 |
311 |
$5K |
| 87500 |
|
325 |
311 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
325 |
311 |
$4K |
| 11730 |
|
24 |
24 |
$2K |
| 93923 |
|
834 |
804 |
$1K |
| 17110 |
|
13 |
13 |
$1K |
| 11755 |
|
62 |
62 |
$843.41 |
| 87640 |
|
325 |
311 |
$656.14 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
17 |
$538.70 |
| 95923 |
|
28 |
28 |
$444.03 |
| 99304 |
|
94 |
93 |
$403.65 |
| 99342 |
|
41 |
40 |
$140.06 |
| 93922 |
|
161 |
161 |
$85.68 |
| 20550 |
|
21 |
17 |
$44.40 |
| 99497 |
|
17 |
16 |
$16.44 |
| 99024 |
|
108 |
77 |
$0.00 |