| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
670 |
547 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
759 |
445 |
$18K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
110 |
92 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
54 |
$4K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
25 |
12 |
$3K |
| L4387 |
Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf |
43 |
28 |
$3K |
| 73630 |
|
19 |
12 |
$115.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,295 |
1,529 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
499 |
226 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
891 |
496 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,389 |
3,118 |
$0.00 |
| 99072 |
|
749 |
579 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
961 |
613 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
37 |
24 |
$0.00 |