| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
497 |
483 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
128 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
50 |
$2K |
| 17110 |
|
14 |
12 |
$677.37 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
13 |
12 |
$31.39 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$1.24 |
| J0670 |
Injection, mepivacaine hydrochloride, per 10 ml |
13 |
12 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
78 |
73 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
14 |
14 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
19 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
62 |
54 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
78 |
69 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
44 |
40 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
12 |
12 |
$0.00 |