| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,779 |
9,812 |
$335K |
| 97597 |
|
4,370 |
4,006 |
$98K |
| 11721 |
|
7,657 |
7,261 |
$89K |
| 73630 |
|
2,032 |
1,612 |
$37K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
412 |
407 |
$19K |
| 99348 |
|
840 |
778 |
$11K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
410 |
372 |
$7K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
24 |
24 |
$4K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
29 |
27 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
69 |
38 |
$2K |
| 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 |
34 |
24 |
$1K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
19 |
12 |
$622.48 |
| 99305 |
|
22 |
19 |
$606.42 |
| 11730 |
|
17 |
16 |
$282.74 |
| 73610 |
|
15 |
12 |
$233.68 |
| G8410 |
Footwear evaluation performed and documented |
333 |
316 |
$0.00 |
| 1036F |
|
18 |
15 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
25 |
21 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
345 |
327 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,854 |
1,552 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14 |
13 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
454 |
391 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
21 |
17 |
$0.00 |