| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
381 |
195 |
$16K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
132 |
56 |
$3K |
| 1170F |
|
268 |
159 |
$2.00 |
| 1126F |
|
170 |
94 |
$2.00 |
| 1159F |
|
268 |
159 |
$2.00 |
| 1160F |
|
256 |
147 |
$2.00 |
| 3078F |
|
136 |
83 |
$2.00 |
| 3075F |
|
108 |
66 |
$1.00 |
| 3074F |
|
53 |
28 |
$1.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
534 |
226 |
$0.00 |
| 1101F |
|
255 |
121 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
87 |
31 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
203 |
98 |
$0.00 |
| 1125F |
|
42 |
26 |
$0.00 |
| 3079F |
|
24 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
958 |
298 |
$0.00 |
| 1158F |
|
246 |
118 |
$0.00 |