| Code | Description | Claims | Beneficiaries | Total Paid |
| 99349 |
|
586 |
555 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
78 |
42 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
69 |
46 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
113 |
90 |
$5K |
| 99000 |
|
242 |
189 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
26 |
$2K |
| 81025 |
|
81 |
55 |
$403.23 |
| 81003 |
|
138 |
95 |
$299.02 |
| 99348 |
|
46 |
46 |
$154.51 |
| 0509F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 1159F |
|
30 |
29 |
$0.00 |
| 1160F |
|
30 |
29 |
$0.00 |