| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,133 |
7,279 |
$67K |
| 11750 |
|
1,058 |
947 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,566 |
1,417 |
$38K |
| 11730 |
|
1,418 |
1,348 |
$22K |
| 20550 |
|
760 |
709 |
$17K |
| 17110 |
|
1,254 |
1,158 |
$16K |
| 29580 |
|
1,281 |
1,134 |
$10K |
| 11721 |
|
1,789 |
1,553 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
852 |
806 |
$6K |
| 29540 |
|
1,016 |
939 |
$6K |
| 93922 |
|
333 |
299 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
27 |
$2K |
| 10060 |
|
92 |
84 |
$1K |
| 20605 |
|
91 |
85 |
$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 |
14 |
12 |
$911.68 |
| 73620 |
|
112 |
92 |
$731.19 |
| 20600 |
|
16 |
16 |
$211.19 |
| 99335 |
|
65 |
58 |
$204.08 |
| 11056 |
|
83 |
74 |
$201.09 |
| 11307 |
|
13 |
13 |
$134.58 |
| 11720 |
|
12 |
12 |
$71.50 |
| 1036F |
|
398 |
382 |
$0.00 |
| G8416 |
Clinician documented that patient was not an eligible candidate for footwear evaluation measure |
402 |
386 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
418 |
401 |
$0.00 |
| 0518F |
|
415 |
399 |
$0.00 |
| 4040F |
|
416 |
399 |
$0.00 |
| 1100F |
|
413 |
397 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
414 |
398 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
390 |
374 |
$0.00 |
| G8415 |
Footwear evaluation was not performed |
402 |
386 |
$0.00 |