| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,078 |
4,075 |
$867K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,324 |
1,065 |
$218K |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
1,862 |
1,240 |
$187K |
| D0999 |
Unspecified diagnostic procedure, by report |
357 |
165 |
$81K |
| H0031 |
Mental health assessment, by non-physician |
494 |
291 |
$74K |
| 90832 |
Psychotherapy, 30 minutes with patient |
70 |
51 |
$13K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
200 |
109 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
146 |
$811.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,260 |
1,026 |
$683.97 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
523 |
410 |
$227.99 |
| 90715 |
|
13 |
13 |
$0.00 |
| 1160F |
|
15 |
13 |
$0.00 |
| 90688 |
|
77 |
70 |
$0.00 |
| 90632 |
|
18 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
14 |
12 |
$0.00 |