| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
177 |
173 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
192 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
59 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 1126F |
|
65 |
61 |
$0.00 |
| 3074F |
|
127 |
126 |
$0.00 |
| 1101F |
|
111 |
107 |
$0.00 |
| 3008F |
|
199 |
196 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
52 |
51 |
$0.00 |
| 1036F |
|
24 |
24 |
$0.00 |
| 1090F |
|
101 |
98 |
$0.00 |
| 3078F |
|
54 |
54 |
$0.00 |
| 1159F |
|
72 |
70 |
$0.00 |