| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,008 |
1,889 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,372 |
1,296 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
333 |
307 |
$9K |
| 99051 |
|
27 |
25 |
$655.00 |
| 90682 |
|
13 |
12 |
$609.29 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$286.00 |
| 90688 |
|
37 |
32 |
$77.00 |
| 1111F |
|
1,796 |
1,638 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
934 |
917 |
$0.00 |
| 3074F |
|
1,869 |
1,806 |
$0.00 |
| 3079F |
|
893 |
872 |
$0.00 |
| 3008F |
|
2,868 |
2,690 |
$0.00 |
| 3075F |
|
67 |
67 |
$0.00 |
| 90673 |
|
13 |
13 |
$0.00 |
| 3078F |
|
1,264 |
1,227 |
$0.00 |
| 99499 |
|
217 |
204 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
112 |
109 |
$0.00 |