| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
1,857 |
1,621 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
300 |
241 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
130 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
62 |
$829.72 |
| G8482 |
Influenza immunization administered or previously received |
75 |
65 |
$0.00 |
| G8404 |
Lower extremity neurological exam performed and documented |
55 |
48 |
$0.00 |
| 1124F |
|
54 |
49 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
14 |
14 |
$0.00 |
| 99307 |
|
22 |
17 |
$0.00 |
| 4040F |
|
93 |
81 |
$0.00 |
| G8415 |
Footwear evaluation was not performed |
34 |
26 |
$0.00 |
| G8405 |
Lower extremity neurological exam not performed |
22 |
19 |
$0.00 |
| 1123F |
|
48 |
38 |
$0.00 |
| G8410 |
Footwear evaluation performed and documented |
37 |
35 |
$0.00 |
| 1036F |
|
86 |
73 |
$0.00 |