| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,180 |
4,941 |
$216K |
| 73630 |
|
2,100 |
1,513 |
$30K |
| L3000 |
Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each |
122 |
52 |
$22K |
| L4397 |
Static or dynamic ankle foot orthosis, including soft interface material, adjustable for fit, for positioning, may be used for minimal ambulation, prefabricated, off-the-shelf |
69 |
69 |
$8K |
| 99243 |
|
89 |
87 |
$7K |
| 11721 |
|
303 |
285 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
45 |
$2K |
| 97760 |
|
29 |
29 |
$1K |
| Q4050 |
Cast supplies, for unlisted types and materials of casts |
16 |
13 |
$326.40 |
| 99072 |
|
35 |
28 |
$41.21 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
148 |
144 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
79 |
79 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
34 |
31 |
$0.00 |
| 3288F |
|
13 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
110 |
108 |
$0.00 |
| S0395 |
Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic |
24 |
12 |
$0.00 |