| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
429 |
427 |
$14K |
| 11720 |
|
276 |
275 |
$7K |
| 11730 |
|
304 |
301 |
$7K |
| 11056 |
|
1,294 |
1,291 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,521 |
1,376 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
319 |
305 |
$4K |
| 1123F |
|
579 |
533 |
$93.45 |
| 3044F |
|
441 |
399 |
$46.91 |
| G8410 |
Footwear evaluation performed and documented |
438 |
397 |
$18.16 |
| G8404 |
Lower extremity neurological exam performed and documented |
439 |
398 |
$0.06 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
597 |
536 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
563 |
519 |
$0.00 |
| 4040F |
|
582 |
535 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
583 |
534 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
580 |
532 |
$0.00 |
| 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 |
13 |
13 |
$0.00 |
| 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 |
26 |
13 |
$0.00 |
| 1036F |
|
605 |
556 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
580 |
535 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |