| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,778 |
2,269 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,095 |
874 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
56 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$561.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$491.05 |
| 1126F |
|
1,277 |
1,020 |
$55.46 |
| 3078F |
|
2,190 |
1,806 |
$0.03 |
| 3074F |
|
2,071 |
1,728 |
$0.02 |
| 3008F |
|
2,805 |
2,342 |
$0.01 |
| 1125F |
|
218 |
169 |
$0.00 |
| 1170F |
|
1,166 |
934 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
962 |
713 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
705 |
537 |
$0.00 |
| 3075F |
|
309 |
256 |
$0.00 |
| 3079F |
|
256 |
229 |
$0.00 |
| 4010F |
|
15 |
12 |
$0.00 |
| 0513F |
|
13 |
12 |
$0.00 |
| 1159F |
|
1,786 |
1,469 |
$0.00 |
| 1160F |
|
1,896 |
1,577 |
$0.00 |
| 1158F |
|
381 |
346 |
$0.00 |
| 81003 |
|
29 |
26 |
$0.00 |
| 3725F |
|
208 |
135 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
24 |
$0.00 |