| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,350 |
2,597 |
$2K |
| 0012A |
|
44 |
43 |
$2K |
| 0011A |
|
38 |
33 |
$1K |
| 0002A |
|
18 |
18 |
$680.00 |
| 96160 |
|
16 |
16 |
$520.00 |
| 0001A |
|
14 |
14 |
$520.00 |
| 99441 |
|
442 |
374 |
$418.76 |
| 99442 |
|
47 |
39 |
$378.93 |
| 90656 |
|
14 |
14 |
$243.04 |
| 90686 |
|
13 |
12 |
$168.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
26 |
$135.00 |
| 99242 |
|
26 |
25 |
$90.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$69.26 |
| G0247 |
Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
17 |
13 |
$0.00 |
| 1158F |
|
187 |
114 |
$0.00 |
| 0521F |
|
89 |
49 |
$0.00 |
| 1160F |
|
94 |
48 |
$0.00 |
| 2028F |
|
17 |
13 |
$0.00 |
| 1159F |
|
185 |
49 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 1126F |
|
24 |
20 |
$0.00 |