| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
2,123 |
1,937 |
$164K |
| 99213 |
|
617 |
609 |
$17K |
| 99203 |
|
39 |
39 |
$2K |
| 10060 |
|
80 |
80 |
$1K |
| A5500 |
Diab shoe for density insert |
25 |
25 |
$981.96 |
| 99307 |
|
25 |
25 |
$260.06 |
| 99304 |
|
15 |
15 |
$140.03 |
| A5513 |
Multi den insert custom mold |
25 |
25 |
$41.38 |
| 3066F |
|
19 |
14 |
$0.00 |
| 1123F |
|
19 |
14 |
$0.00 |
| G8952 |
Pre-htn/htn, no f/u, not gvn |
16 |
13 |
$0.00 |
| 3061F |
|
30 |
23 |
$0.00 |
| G9745 |
Doc rsn no hbp scrn or f/u |
16 |
13 |
$0.00 |
| 3072F |
|
19 |
14 |
$0.00 |
| G8410 |
Eval on foot documented |
19 |
14 |
$0.00 |
| 3044F |
|
19 |
14 |
$0.00 |
| 3060F |
|
19 |
14 |
$0.00 |
| G8416 |
Pt inelig footwear evaluatio |
19 |
14 |
$0.00 |
| G8405 |
Low extemity neur not perfor |
38 |
14 |
$0.00 |
| G8950 |
Pre-htn or htn doc, f/u indc |
16 |
13 |
$0.00 |
| G8404 |
Low extemity neur exam docum |
49 |
23 |
$0.00 |
| G8484 |
Flu immunize no admin |
19 |
14 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
27 |
22 |
$0.00 |
| 2022F |
|
19 |
14 |
$0.00 |
| G8785 |
Bp scrn no perf at interval |
16 |
13 |
$0.00 |
| G8483 |
Flu imm no admin doc rea |
19 |
14 |
$0.00 |
| 3046F |
|
30 |
23 |
$0.00 |
| 1124F |
|
19 |
14 |
$0.00 |
| G8415 |
Eval on foot not performed |
30 |
23 |
$0.00 |
| 2024F |
|
19 |
14 |
$0.00 |
| G8482 |
Flu immunize order/admin |
30 |
23 |
$0.00 |
| 2026F |
|
30 |
23 |
$0.00 |
| 3062F |
|
19 |
14 |
$0.00 |
| G8506 |
Pt rec ace/arb |
19 |
14 |
$0.00 |
| 3045F |
|
19 |
14 |
$0.00 |