| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11721 |
|
10,074 |
9,356 |
$177K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,514 |
2,256 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,318 |
1,164 |
$32K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
746 |
259 |
$13K |
| 11056 |
|
813 |
750 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
246 |
239 |
$9K |
| 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 |
226 |
108 |
$6K |
| L3020 |
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each |
36 |
13 |
$3K |
| 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 |
81 |
40 |
$3K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
160 |
63 |
$2K |
| 93925 |
|
26 |
26 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
25 |
$1K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
96 |
36 |
$906.84 |
| 99457 |
|
42 |
37 |
$708.56 |
| 93923 |
|
16 |
14 |
$367.97 |
| 73630 |
|
20 |
12 |
$349.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
79 |
77 |
$318.60 |
| 99454 |
|
15 |
12 |
$280.57 |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
35 |
14 |
$268.13 |
| 11055 |
|
15 |
13 |
$185.22 |
| G8404 |
Lower extremity neurological exam performed and documented |
134 |
108 |
$114.00 |
| 99406 |
|
30 |
21 |
$82.41 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
220 |
171 |
$45.00 |
| G8410 |
Footwear evaluation performed and documented |
130 |
104 |
$18.00 |
| 1036F |
|
521 |
411 |
$0.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
176 |
118 |
$0.06 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
120 |
83 |
$0.04 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
509 |
400 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
29 |
20 |
$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) |
27 |
19 |
$0.00 |
| 0518F |
|
215 |
168 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
102 |
83 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
100 |
69 |
$0.00 |
| G0030 |
Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user |
25 |
17 |
$0.00 |
| G8400 |
Patient with central dual-energy x-ray absorptiometry (dxa) results not documented, reason not given |
18 |
13 |
$0.00 |