| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
2,910 |
2,718 |
$28K |
| 99204 |
|
870 |
855 |
$14K |
| 92551 |
|
274 |
272 |
$3K |
| 3078F |
|
1,002 |
940 |
$3K |
| 3074F |
|
1,013 |
955 |
$3K |
| 99215 |
Prolong outpt/office vis |
329 |
324 |
$2K |
| 90656 |
|
113 |
111 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
517 |
87 |
$2K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
266 |
255 |
$1K |
| 99309 |
|
59 |
39 |
$645.39 |
| 3044F |
|
214 |
203 |
$450.00 |
| 99223 |
Prolong inpt eval add15 m |
87 |
81 |
$351.39 |
| 1220F |
|
208 |
204 |
$200.00 |
| 3079F |
|
42 |
42 |
$150.00 |
| 99239 |
|
25 |
24 |
$109.34 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
34 |
33 |
$100.00 |
| 3075F |
|
22 |
21 |
$100.00 |
| 99406 |
|
42 |
41 |
$100.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
12 |
$50.00 |
| 3080F |
|
46 |
43 |
$50.00 |
| 90471 |
|
14 |
14 |
$4.42 |
| 99395 |
|
27 |
27 |
$0.00 |
| 99396 |
|
12 |
12 |
$0.00 |
| 3077F |
|
42 |
37 |
$0.00 |
| 99238 |
|
13 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
122 |
119 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
26 |
26 |
$0.00 |
| 99385 |
|
14 |
14 |
$0.00 |