| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,429 |
3,467 |
$251K |
| 73630 |
|
1,029 |
564 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
177 |
177 |
$15K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
26 |
26 |
$14K |
| 11721 |
|
460 |
423 |
$5K |
| 11056 |
|
14 |
14 |
$385.63 |
| G2197 |
Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user |
116 |
110 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
84 |
80 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
97 |
93 |
$0.00 |
| 1036F |
|
150 |
142 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
885 |
750 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
112 |
106 |
$0.00 |
| 0518F |
|
91 |
87 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
83 |
79 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
57 |
54 |
$0.00 |