| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,312 |
5,728 |
$198K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
690 |
625 |
$40K |
| 11721 |
|
2,348 |
2,173 |
$39K |
| 73630 |
|
1,870 |
882 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,607 |
1,311 |
$30K |
| 93923 |
|
182 |
171 |
$11K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
496 |
395 |
$11K |
| 20550 |
|
250 |
149 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
183 |
167 |
$9K |
| 11056 |
|
1,001 |
929 |
$9K |
| 29580 |
|
507 |
146 |
$8K |
| 93702 |
|
185 |
166 |
$8K |
| 76881 |
|
123 |
65 |
$6K |
| 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 |
154 |
92 |
$5K |
| 76942 |
|
125 |
77 |
$4K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, 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 |
39 |
30 |
$4K |
| 11720 |
|
513 |
494 |
$4K |
| 11730 |
|
92 |
81 |
$3K |
| G0127 |
Trimming of dystrophic nails, any number |
472 |
453 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
125 |
50 |
$1K |
| L1906 |
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf |
17 |
12 |
$1K |
| L3060 |
Foot, arch support, removable, premolded, longitudinal/ metatarsal, each |
12 |
12 |
$1K |
| 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 |
36 |
16 |
$701.88 |
| 20600 |
|
21 |
15 |
$477.42 |
| 11719 |
|
41 |
36 |
$65.39 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
66 |
58 |
$0.11 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
86 |
78 |
$0.11 |
| G8482 |
Influenza immunization administered or previously received |
55 |
53 |
$0.09 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
61 |
54 |
$0.08 |
| 1036F |
|
85 |
77 |
$0.00 |
| 1100F |
|
85 |
77 |
$0.00 |
| 4040F |
|
64 |
58 |
$0.00 |
| 99072 |
|
356 |
284 |
$0.00 |
| 3288F |
|
83 |
75 |
$0.00 |
| 888888 |
|
137 |
103 |
$0.00 |