| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,887 |
1,743 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
475 |
456 |
$27K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
318 |
308 |
$27K |
| 73630 |
|
1,413 |
1,063 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
307 |
$18K |
| 11750 |
|
76 |
55 |
$5K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
36 |
18 |
$2K |
| 11306 |
|
62 |
58 |
$2K |
| 29799 |
|
40 |
39 |
$1K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
36 |
36 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
85 |
82 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |