| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,056 |
3,866 |
$173K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,693 |
1,663 |
$97K |
| 73630 |
|
3,779 |
2,758 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
596 |
596 |
$46K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
171 |
149 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
302 |
302 |
$34K |
| 11750 |
|
23 |
15 |
$3K |
| 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 |
44 |
42 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
69 |
$2K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
15 |
12 |
$763.68 |
| 4004F |
|
632 |
589 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,956 |
2,724 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
59 |
54 |
$0.00 |
| 4040F |
|
14 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
665 |
619 |
$0.00 |
| 1036F |
|
1,316 |
1,212 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
241 |
227 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,312 |
1,207 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
665 |
619 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
59 |
54 |
$0.00 |
| 3044F |
|
17 |
15 |
$0.00 |