| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,364 |
11,966 |
$670K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,700 |
5,699 |
$356K |
| 73630 |
|
8,515 |
5,028 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,189 |
1,886 |
$160K |
| 11721 |
|
11,839 |
9,686 |
$140K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,788 |
2,328 |
$139K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
20,333 |
1,169 |
$128K |
| A6021 |
Collagen dressing, sterile, size 16 sq. in. or less, each |
1,748 |
365 |
$73K |
| 17110 |
|
1,464 |
1,069 |
$66K |
| 11056 |
|
2,462 |
2,060 |
$51K |
| 99307 |
|
7,615 |
5,783 |
$47K |
| 11307 |
|
706 |
568 |
$46K |
| 11306 |
|
983 |
724 |
$37K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
2,554 |
834 |
$31K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
223 |
157 |
$19K |
| 99304 |
|
959 |
735 |
$17K |
| A6010 |
Collagen based wound filler, dry form, sterile, per gram of collagen |
514 |
79 |
$16K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
45 |
39 |
$10K |
| 11720 |
|
1,966 |
1,463 |
$9K |
| 11755 |
|
410 |
289 |
$9K |
| 87481 |
|
1,612 |
321 |
$9K |
| 87500 |
|
566 |
416 |
$8K |
| 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 |
433 |
191 |
$7K |
| 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 |
419 |
187 |
$6K |
| 87640 |
|
640 |
481 |
$6K |
| 87641 |
|
436 |
319 |
$5K |
| 11719 |
|
2,053 |
1,422 |
$4K |
| 11765 |
|
41 |
37 |
$3K |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
57 |
42 |
$3K |
| 11055 |
|
126 |
108 |
$3K |
| 76942 |
|
77 |
67 |
$3K |
| 11730 |
|
116 |
103 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
188 |
147 |
$3K |
| 11750 |
|
14 |
12 |
$2K |
| 17250 |
|
28 |
24 |
$2K |
| 11305 |
|
76 |
56 |
$1K |
| 97597 |
|
27 |
12 |
$979.38 |
| 73610 |
|
37 |
22 |
$954.52 |
| 20606 |
|
42 |
25 |
$920.34 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81 |
63 |
$811.70 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
247 |
186 |
$722.60 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
46 |
38 |
$692.65 |
| 97760 |
|
28 |
24 |
$667.74 |
| 87653 |
|
46 |
35 |
$287.74 |
| 29540 |
|
18 |
12 |
$246.84 |
| G0127 |
Trimming of dystrophic nails, any number |
72 |
61 |
$186.46 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
374 |
292 |
$157.35 |
| 99024 |
|
46 |
29 |
$0.00 |