| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,145 |
1,851 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,454 |
1,858 |
$96K |
| 11765 |
|
713 |
332 |
$44K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
970 |
405 |
$43K |
| L4360 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise |
131 |
91 |
$23K |
| L4361 |
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf |
109 |
99 |
$22K |
| 28002 |
|
87 |
41 |
$12K |
| 11721 |
|
900 |
727 |
$10K |
| 11730 |
|
199 |
136 |
$10K |
| 73630 |
|
494 |
271 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
64 |
$2K |
| Q4038 |
Cast supplies, short leg cast, adult (11 years +), fiberglass |
62 |
29 |
$2K |
| 93923 |
|
47 |
37 |
$2K |
| 11755 |
|
45 |
29 |
$2K |
| 10061 |
|
16 |
12 |
$2K |
| 29581 |
|
34 |
25 |
$1K |
| 98960 |
|
97 |
51 |
$1K |
| 73610 |
|
35 |
16 |
$524.61 |
| 15852 |
|
63 |
53 |
$486.54 |
| 20550 |
|
16 |
13 |
$457.44 |
| 11056 |
|
31 |
29 |
$398.23 |
| 64450 |
|
17 |
14 |
$229.60 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,829 |
989 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,813 |
986 |
$0.00 |
| 99024 |
|
221 |
174 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
55 |
36 |
$0.00 |
| 2000F |
|
132 |
64 |
$0.00 |
| 1000F |
|
203 |
143 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
121 |
51 |
$0.00 |
| 3008F |
|
33 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,072 |
1,138 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
1,506 |
818 |
$0.00 |
| 99072 |
|
209 |
159 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
1,829 |
989 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
121 |
51 |
$0.00 |
| G8539 |
Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment |
35 |
14 |
$0.00 |