| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,173 |
8,638 |
$241K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,952 |
1,808 |
$97K |
| 93922 |
|
723 |
664 |
$30K |
| 11721 |
|
1,106 |
1,029 |
$21K |
| 73630 |
|
934 |
761 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
200 |
196 |
$4K |
| 99348 |
|
140 |
137 |
$3K |
| 99342 |
|
29 |
28 |
$900.80 |
| 11055 |
|
29 |
24 |
$874.68 |
| 99305 |
|
17 |
17 |
$708.10 |
| 11056 |
|
13 |
12 |
$491.73 |
| 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 |
26 |
12 |
$441.03 |
| 97597 |
|
17 |
12 |
$322.92 |
| 2028F |
|
144 |
106 |
$0.05 |
| G8410 |
Footwear evaluation performed and documented |
183 |
137 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
133 |
104 |
$0.00 |
| 1101F |
|
16 |
15 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
22 |
13 |
$0.00 |
| 1036F |
|
20 |
17 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
170 |
125 |
$0.00 |