| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11056 |
|
1,041 |
765 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
378 |
302 |
$8K |
| 11721 |
|
1,922 |
1,349 |
$7K |
| 11720 |
|
2,718 |
1,889 |
$7K |
| 11055 |
|
895 |
624 |
$3K |
| 11719 |
|
2,131 |
1,474 |
$2K |
| 11730 |
|
83 |
57 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
86 |
65 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
13 |
$463.16 |
| 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 |
34 |
12 |
$338.46 |
| 1101F |
|
463 |
323 |
$0.00 |
| 3044F |
|
112 |
67 |
$0.00 |
| 1036F |
|
260 |
179 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
22 |
17 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
213 |
145 |
$0.00 |
| 4040F |
|
370 |
256 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
729 |
501 |
$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 |
66 |
51 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
136 |
94 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
18 |
15 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20 |
13 |
$0.00 |