| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99382 |
|
92 |
92 |
$5K |
| G9920 |
Screening performed and negative |
426 |
426 |
$4K |
| 99383 |
|
60 |
60 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 99385 |
|
15 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
898 |
898 |
$756.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
773 |
773 |
$325.00 |
| 1003F |
|
778 |
778 |
$0.00 |
| 3078F |
|
251 |
251 |
$0.00 |
| 1090F |
|
491 |
491 |
$0.00 |
| 1158F |
|
257 |
257 |
$0.00 |
| 1160F |
|
640 |
640 |
$0.00 |
| 1091F |
|
84 |
84 |
$0.00 |
| 1124F |
|
582 |
582 |
$0.00 |
| 4274F |
|
406 |
406 |
$0.00 |
| 1159F |
|
640 |
640 |
$0.00 |
| 3288F |
|
631 |
629 |
$0.00 |
| 4040F |
|
494 |
494 |
$0.00 |
| 3725F |
|
176 |
176 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 3077F |
|
30 |
30 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
17 |
$0.00 |
| 1157F |
|
59 |
59 |
$0.00 |
| 1170F |
|
778 |
778 |
$0.00 |
| 1126F |
|
477 |
477 |
$0.00 |
| 1101F |
|
594 |
594 |
$0.00 |
| 1036F |
|
688 |
688 |
$0.00 |
| 3008F |
|
1,010 |
1,010 |
$0.00 |
| 1000F |
|
771 |
771 |
$0.00 |
| 1125F |
|
229 |
229 |
$0.00 |
| 3074F |
|
219 |
219 |
$0.00 |
| 3075F |
|
75 |
75 |
$0.00 |
| 1123F |
|
87 |
87 |
$0.00 |
| 0503F |
|
14 |
14 |
$0.00 |
| 3079F |
|
120 |
120 |
$0.00 |