| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,709 |
8,392 |
$54K |
| 1126F |
|
1,637 |
1,479 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,952 |
2,853 |
$16K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
85 |
85 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
128 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
112 |
112 |
$1K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
264 |
256 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
65 |
64 |
$814.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
629 |
620 |
$136.34 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$113.26 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
32 |
32 |
$20.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
78 |
78 |
$0.08 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
18 |
18 |
$0.07 |
| 3074F |
|
2,875 |
2,796 |
$0.02 |
| 3078F |
|
2,571 |
2,507 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
408 |
408 |
$0.00 |
| 3077F |
|
461 |
445 |
$0.00 |
| 1160F |
|
2,758 |
2,538 |
$0.00 |
| 1159F |
|
2,643 |
2,429 |
$0.00 |
| 99397 |
|
12 |
12 |
$0.00 |
| 98960 |
|
18 |
17 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$0.00 |
| 3008F |
|
3,396 |
3,288 |
$0.00 |
| 1125F |
|
761 |
744 |
$0.00 |
| 3075F |
|
537 |
525 |
$0.00 |
| 3079F |
|
1,297 |
1,258 |
$0.00 |
| 1170F |
|
265 |
135 |
$0.00 |
| 1157F |
|
222 |
101 |
$0.00 |
| 3080F |
|
179 |
175 |
$0.00 |
| 3044F |
|
32 |
32 |
$0.00 |
| 3014F |
|
27 |
27 |
$0.00 |
| 3017F |
|
38 |
38 |
$0.00 |