| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,123 |
1,937 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
617 |
609 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$2K |
| 10060 |
|
80 |
80 |
$1K |
| 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 |
25 |
25 |
$981.96 |
| 99307 |
|
25 |
25 |
$260.06 |
| 99304 |
|
15 |
15 |
$140.03 |
| 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 |
25 |
25 |
$41.38 |
| 3066F |
|
19 |
14 |
$0.00 |
| 1123F |
|
19 |
14 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
16 |
13 |
$0.00 |
| 3061F |
|
30 |
23 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
16 |
13 |
$0.00 |
| 3072F |
|
19 |
14 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
19 |
14 |
$0.00 |
| 3044F |
|
19 |
14 |
$0.00 |
| 3060F |
|
19 |
14 |
$0.00 |
| G8416 |
Clinician documented that patient was not an eligible candidate for footwear evaluation measure |
19 |
14 |
$0.00 |
| G8405 |
Lower extremity neurological exam not performed |
38 |
14 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
16 |
13 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
49 |
23 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
19 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
27 |
22 |
$0.00 |
| 2022F |
|
19 |
14 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
16 |
13 |
$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) |
19 |
14 |
$0.00 |
| 3046F |
|
30 |
23 |
$0.00 |
| 1124F |
|
19 |
14 |
$0.00 |
| G8415 |
Footwear evaluation was not performed |
30 |
23 |
$0.00 |
| 2024F |
|
19 |
14 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
30 |
23 |
$0.00 |
| 2026F |
|
30 |
23 |
$0.00 |
| 3062F |
|
19 |
14 |
$0.00 |
| G8506 |
Patient receiving angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy |
19 |
14 |
$0.00 |
| 3045F |
|
19 |
14 |
$0.00 |