| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
171 |
160 |
$10K |
| 97802 |
|
245 |
225 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
58 |
$5K |
| H0049 |
Alcohol and/or drug screening |
134 |
127 |
$4K |
| 4004F |
|
118 |
113 |
$3K |
| 99408 |
|
64 |
61 |
$2K |
| G9920 |
Screening performed and negative |
65 |
60 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
73 |
71 |
$660.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
17 |
$510.00 |
| 96160 |
|
89 |
85 |
$450.00 |
| 99173 |
|
16 |
16 |
$400.00 |
| 92551 |
|
18 |
18 |
$324.00 |
| 3008F |
|
291 |
262 |
$2.51 |
| 1159F |
|
182 |
164 |
$1.61 |
| 1036F |
|
131 |
124 |
$1.18 |
| 1160F |
|
108 |
100 |
$1.00 |
| 1126F |
|
14 |
14 |
$0.12 |
| 3078F |
|
51 |
48 |
$0.00 |
| 3074F |
|
60 |
57 |
$0.00 |