| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,645 |
7,333 |
$293K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
1,304 |
798 |
$283K |
| 11721 |
|
19,835 |
19,745 |
$210K |
| 11305 |
|
3,479 |
3,426 |
$119K |
| 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 |
1,992 |
1,309 |
$87K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
2,048 |
1,315 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,455 |
4,310 |
$71K |
| 11056 |
|
6,357 |
6,329 |
$66K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
943 |
935 |
$65K |
| 11057 |
|
4,555 |
4,550 |
$62K |
| 11306 |
|
898 |
894 |
$53K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
594 |
594 |
$47K |
| 73630 |
|
954 |
662 |
$25K |
| 11043 |
|
196 |
77 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
298 |
298 |
$14K |
| 11720 |
|
1,530 |
1,517 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,937 |
3,901 |
$11K |
| L4396 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
79 |
57 |
$8K |
| 20550 |
|
138 |
112 |
$6K |
| 99243 |
|
63 |
63 |
$4K |
| 10061 |
|
55 |
50 |
$3K |
| 29540 |
|
98 |
81 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
39 |
39 |
$734.98 |
| 11719 |
|
303 |
295 |
$690.59 |
| G8410 |
Footwear evaluation performed and documented |
88 |
84 |
$414.39 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
641 |
632 |
$382.19 |
| G8482 |
Influenza immunization administered or previously received |
558 |
550 |
$132.99 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
545 |
537 |
$78.39 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
468 |
461 |
$30.81 |
| 1036F |
|
1,135 |
1,124 |
$14.85 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
536 |
528 |
$0.00 |
| 3044F |
|
194 |
192 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
73 |
73 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
197 |
195 |
$0.00 |