| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,108 |
5,777 |
$210K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,334 |
2,163 |
$123K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
652 |
303 |
$122K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
853 |
555 |
$102K |
| 76881 |
|
1,637 |
996 |
$86K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
745 |
549 |
$66K |
| 73630 |
|
2,129 |
1,418 |
$36K |
| 77002 |
|
626 |
374 |
$23K |
| 87481 |
|
848 |
555 |
$21K |
| 20550 |
|
597 |
363 |
$19K |
| 11750 |
|
65 |
52 |
$7K |
| 11721 |
|
382 |
346 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
30 |
$3K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
24 |
13 |
$3K |
| 77077 |
|
45 |
28 |
$1K |
| 77071 |
|
45 |
28 |
$925.37 |
| 87653 |
|
50 |
16 |
$526.54 |
| 87641 |
|
50 |
16 |
$526.54 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
50 |
16 |
$526.54 |
| 87500 |
|
40 |
16 |
$526.35 |
| 87640 |
|
50 |
16 |
$489.68 |
| 73620 |
|
14 |
12 |
$241.22 |
| 99304 |
|
17 |
13 |
$0.00 |