| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,577 |
5,387 |
$223K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,313 |
2,302 |
$133K |
| 11055 |
|
3,477 |
3,461 |
$36K |
| 11719 |
|
10,499 |
10,304 |
$28K |
| 11056 |
|
788 |
777 |
$9K |
| G8404 |
Lower extremity neurological exam performed and documented |
4,034 |
3,958 |
$2K |
| 99347 |
|
107 |
107 |
$2K |
| A5513 |
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each |
61 |
37 |
$2K |
| 2028F |
|
4,019 |
3,943 |
$2K |
| G8410 |
Footwear evaluation performed and documented |
4,032 |
3,955 |
$2K |
| 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 |
61 |
37 |
$1K |
| 99341 |
|
13 |
13 |
$189.15 |