| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,217 |
2,685 |
$88K |
| 11721 |
|
3,034 |
2,448 |
$37K |
| 73630 |
|
1,610 |
1,181 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
458 |
413 |
$31K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
581 |
507 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
381 |
332 |
$19K |
| 11750 |
|
18 |
12 |
$2K |
| L3001 |
Foot, insert, removable, molded to patient model, spenco, each |
39 |
38 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
352 |
301 |
$0.00 |
| 0518F |
|
88 |
79 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
424 |
369 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
102 |
87 |
$0.00 |
| 99024 |
|
169 |
106 |
$0.00 |
| 1000F |
|
54 |
50 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
35 |
28 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
19 |
16 |
$0.00 |
| 3008F |
|
55 |
51 |
$0.00 |