| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,521 |
2,484 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,854 |
4,586 |
$114K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,583 |
6,165 |
$102K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
336 |
160 |
$75K |
| 11056 |
|
2,433 |
2,383 |
$65K |
| 11720 |
|
4,311 |
4,241 |
$50K |
| 11721 |
|
2,956 |
2,901 |
$46K |
| 11055 |
|
1,969 |
1,933 |
$37K |
| 11719 |
|
6,868 |
6,710 |
$23K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
549 |
539 |
$22K |
| L3040 |
Foot, arch support, removable, premolded, longitudinal, each |
533 |
267 |
$19K |
| G0127 |
Trimming of dystrophic nails, any number |
2,790 |
2,717 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
78 |
$4K |
| 73630 |
|
380 |
170 |
$3K |
| 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 |
53 |
27 |
$2K |
| 73620 |
|
206 |
76 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
8,315 |
7,774 |
$2K |
| 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 |
104 |
52 |
$1K |
| 1036F |
|
5,038 |
4,772 |
$732.86 |
| 1101F |
|
1,413 |
1,333 |
$465.02 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,508 |
3,253 |
$308.40 |
| G8410 |
Footwear evaluation performed and documented |
1,128 |
1,102 |
$284.97 |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
13 |
12 |
$254.40 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
2,491 |
2,343 |
$241.16 |
| G8404 |
Lower extremity neurological exam performed and documented |
1,135 |
1,111 |
$146.53 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,186 |
1,114 |
$81.05 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,741 |
2,494 |
$28.65 |
| 3046F |
|
151 |
141 |
$0.00 |
| 3051F |
|
13 |
13 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
369 |
365 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
466 |
420 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
12 |
12 |
$0.00 |