| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,335 |
1,231 |
$15K |
| 11721 |
|
658 |
611 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
131 |
$3K |
| L1971 |
Ankle foot orthosis, plastic or other material with ankle joint, with or without dorsiflexion assist, prefabricated, includes fitting and adjustment |
12 |
12 |
$1K |
| 17110 |
|
13 |
13 |
$143.71 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
1,549 |
1,421 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
958 |
885 |
$0.00 |
| 4040F |
|
1,236 |
1,146 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
930 |
849 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
565 |
524 |
$0.00 |
| 1124F |
|
116 |
102 |
$0.00 |
| 3046F |
|
37 |
33 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
57 |
54 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
110 |
98 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
161 |
156 |
$0.00 |
| 1036F |
|
829 |
768 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
14 |
$0.00 |