| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,003 |
1,619 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
333 |
291 |
$13K |
| 11721 |
|
419 |
374 |
$2K |
| 73630 |
|
180 |
103 |
$2K |
| A5514 |
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 |
64 |
15 |
$683.47 |
| 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 |
46 |
15 |
$350.20 |
| 11720 |
|
28 |
28 |
$134.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$119.32 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
12 |
12 |
$61.24 |
| G0127 |
Trimming of dystrophic nails, any number |
30 |
30 |
$46.80 |
| 4040F |
|
716 |
560 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,123 |
2,468 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,774 |
1,407 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
417 |
358 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
782 |
611 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
18 |
13 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
71 |
65 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,064 |
1,632 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
71 |
65 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
385 |
310 |
$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) |
55 |
46 |
$0.00 |