| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99443 |
|
1,396 |
1,271 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
685 |
639 |
$21K |
| 99349 |
|
827 |
717 |
$17K |
| 99350 |
Prolong home eval add 15m |
327 |
297 |
$13K |
| 99345 |
Prolong home eval add 15m |
47 |
45 |
$2K |
| 99497 |
|
123 |
121 |
$1K |
| 99490 |
Ccm add 20min |
192 |
191 |
$1K |
| 98960 |
|
19 |
19 |
$595.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
56 |
55 |
$553.01 |
| 99487 |
Ccm add 20min |
13 |
13 |
$508.14 |
| 3078F |
|
75 |
61 |
$16.96 |
| 3074F |
|
74 |
59 |
$14.84 |
| 1126F |
|
2,565 |
2,251 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
965 |
845 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |
| 1160F |
|
2,595 |
2,271 |
$0.00 |
| 1159F |
|
2,567 |
2,257 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
28 |
26 |
$0.00 |