| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,231 |
4,526 |
$112K |
| 11057 |
|
5,473 |
4,927 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,513 |
1,342 |
$48K |
| 11721 |
|
8,411 |
7,618 |
$24K |
| 73630 |
|
646 |
485 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
382 |
333 |
$2K |
| 11056 |
|
153 |
139 |
$1K |
| 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 |
17 |
14 |
$1K |
| 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 |
33 |
15 |
$954.78 |
| 97022 |
|
239 |
211 |
$761.25 |
| L1902 |
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf |
17 |
14 |
$690.09 |
| 76882 |
|
70 |
61 |
$601.68 |
| G0127 |
Trimming of dystrophic nails, any number |
118 |
112 |
$320.21 |
| 29540 |
|
17 |
13 |
$99.16 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
33 |
33 |
$0.00 |
| 1036F |
|
91 |
90 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
72 |
71 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
223 |
223 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
29 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
256 |
254 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
25 |
$0.00 |
| 4040F |
|
14 |
14 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
15 |
14 |
$0.00 |