| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,777 |
1,146 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,930 |
1,944 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
49 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
34 |
19 |
$427.25 |
| 99222 |
Initial hospital care, per day, moderate complexity |
14 |
12 |
$277.65 |
| 99233 |
Prolong inpt eval add15 m |
142 |
12 |
$160.09 |
| 20550 |
|
62 |
40 |
$145.14 |
| G8404 |
Lower extremity neurological exam performed and documented |
62 |
48 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
20 |
13 |
$0.00 |
| 1101F |
|
150 |
118 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
62 |
48 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
213 |
162 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
20 |
$0.00 |