| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,242 |
3,289 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
108 |
$2K |
| 99215 |
Prolong outpt/office vis |
17 |
17 |
$924.83 |
| 99423 |
|
215 |
185 |
$742.96 |
| 99401 |
|
16 |
13 |
$455.93 |
| 99422 |
|
119 |
95 |
$424.06 |
| 99397 |
|
16 |
12 |
$327.61 |
| 96127 |
|
411 |
356 |
$292.94 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
47 |
28 |
$99.20 |
| 99406 |
|
29 |
27 |
$89.68 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
20 |
16 |
$82.82 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
55 |
36 |
$11.42 |
| 99421 |
|
12 |
12 |
$3.39 |
| 1160F |
|
2,358 |
1,790 |
$0.00 |
| 1159F |
|
2,383 |
1,807 |
$0.00 |
| 3078F |
|
260 |
204 |
$0.00 |
| 4004F |
|
33 |
27 |
$0.00 |
| 1150F |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,106 |
827 |
$0.00 |
| 3008F |
|
1,712 |
1,398 |
$0.00 |
| 1101F |
|
13 |
12 |
$0.00 |
| 1123F |
|
13 |
13 |
$0.00 |
| 1125F |
|
19 |
13 |
$0.00 |
| 1036F |
|
578 |
469 |
$0.00 |
| 3074F |
|
233 |
177 |
$0.00 |
| 1170F |
|
45 |
37 |
$0.00 |