| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,577 |
7,228 |
$466K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
4,404 |
4,401 |
$395K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,279 |
2,152 |
$95K |
| L3030 |
Foot, insert, removable, formed to patient foot, each |
676 |
675 |
$68K |
| L3216 |
Orthopedic footwear, ladies shoe, depth inlay, each |
234 |
233 |
$34K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
199 |
199 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
169 |
162 |
$18K |
| 11721 |
|
438 |
436 |
$6K |
| L3221 |
Orthopedic footwear, mens shoe, depth inlay, each |
30 |
30 |
$5K |
| A5512 |
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each |
159 |
80 |
$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 |
159 |
80 |
$3K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
38 |
38 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,253 |
1,246 |
$1K |
| 99051 |
|
192 |
184 |
$654.05 |
| 0031A |
|
13 |
13 |
$547.56 |
| 11056 |
|
12 |
12 |
$110.12 |
| 3725F |
|
189 |
189 |
$20.77 |
| H0001 |
Alcohol and/or drug assessment |
707 |
699 |
$0.24 |
| G9275 |
Documentation that patient is a current non-tobacco user |
721 |
720 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
276 |
275 |
$0.00 |
| 91303 |
|
13 |
13 |
$0.00 |
| 1036F |
|
41 |
41 |
$0.00 |
| 1000F |
|
57 |
57 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
908 |
898 |
$0.00 |