| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
1,305 |
931 |
$8K |
| 11720 |
|
1,206 |
949 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
266 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
75 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
94 |
67 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
42 |
$506.60 |
| G8482 |
Influenza immunization administered or previously received |
528 |
397 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
99 |
64 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
66 |
49 |
$0.00 |
| 1036F |
|
742 |
544 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
139 |
89 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
573 |
439 |
$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) |
98 |
63 |
$0.00 |