| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,438 |
9,375 |
$325K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,883 |
1,747 |
$80K |
| 11721 |
|
5,229 |
4,753 |
$68K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
234 |
155 |
$29K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
758 |
432 |
$15K |
| 73630 |
|
793 |
600 |
$12K |
| 73620 |
|
447 |
315 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
67 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
81 |
78 |
$1K |
| 17110 |
|
16 |
12 |
$782.18 |
| 99223 |
Prolong inpt eval add15 m |
13 |
12 |
$760.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
18 |
$368.88 |
| 99072 |
|
488 |
439 |
$1.60 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
17 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
571 |
440 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
89 |
79 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
27 |
24 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
28 |
24 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90661 |
|
17 |
17 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
12 |
$0.00 |
| 1036F |
|
87 |
76 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
75 |
64 |
$0.00 |