| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
3,354 |
1,438 |
$452K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
3,121 |
1,205 |
$261K |
| 11730 |
|
5,025 |
4,787 |
$71K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,516 |
5,249 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,904 |
1,796 |
$48K |
| 64450 |
|
4,020 |
3,392 |
$38K |
| 93923 |
|
2,021 |
1,881 |
$29K |
| 20550 |
|
4,216 |
3,473 |
$25K |
| 11000 |
|
4,547 |
4,238 |
$25K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
530 |
524 |
$23K |
| 10060 |
|
2,164 |
2,030 |
$21K |
| 17000 |
|
2,557 |
2,347 |
$19K |
| Q4206 |
Fluid flow or fluid gf, 1 cc |
39 |
37 |
$18K |
| 11721 |
|
4,122 |
3,780 |
$13K |
| 97597 |
|
1,395 |
1,318 |
$9K |
| 11056 |
|
4,509 |
4,122 |
$9K |
| 17003 |
|
2,129 |
2,002 |
$7K |
| 76882 |
|
595 |
450 |
$7K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
43 |
26 |
$5K |
| L3002 |
Foot, insert, removable, molded to patient model, plastazote or equal, each |
52 |
25 |
$5K |
| 73620 |
|
188 |
161 |
$3K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
14 |
12 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
67 |
64 |
$2K |
| 11102 |
|
102 |
95 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
138 |
$2K |
| 64455 |
|
229 |
189 |
$2K |
| 20605 |
|
285 |
245 |
$2K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
2,556 |
2,070 |
$1K |
| 11103 |
|
78 |
75 |
$868.15 |
| 11104 |
|
25 |
25 |
$728.97 |
| 11720 |
|
529 |
509 |
$663.25 |
| 11105 |
|
25 |
25 |
$354.61 |
| 11732 |
|
64 |
58 |
$321.81 |
| 11100 |
|
12 |
12 |
$198.25 |
| 11719 |
|
382 |
363 |
$140.81 |
| 29540 |
|
27 |
24 |
$94.97 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
93 |
86 |
$82.75 |
| 11101 |
|
12 |
12 |
$79.33 |
| 20551 |
|
18 |
17 |
$6.56 |
| 99072 |
|
118 |
115 |
$0.00 |