| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,381 |
6,648 |
$208K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
3,321 |
2,960 |
$187K |
| 11750 |
|
1,706 |
1,185 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,291 |
2,998 |
$123K |
| 97597 |
|
2,437 |
2,154 |
$62K |
| 73610 |
|
4,655 |
2,899 |
$52K |
| 73630 |
|
4,746 |
2,968 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
677 |
630 |
$41K |
| 11730 |
|
673 |
621 |
$18K |
| 20550 |
|
752 |
594 |
$11K |
| 93922 |
|
1,048 |
980 |
$9K |
| 10061 |
|
74 |
67 |
$4K |
| 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 |
50 |
25 |
$3K |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
217 |
194 |
$844.32 |
| 73700 |
|
442 |
270 |
$24.90 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
140 |
119 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
56 |
56 |
$0.00 |
| 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 |
24 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
24 |
$0.00 |