| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,746 |
3,195 |
$111K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
337 |
305 |
$14K |
| 11721 |
|
237 |
232 |
$3K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
41 |
14 |
$2K |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
14 |
12 |
$0.00 |
| 1006F |
|
14 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
14 |
12 |
$0.00 |