| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
181 |
176 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
150 |
146 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
63 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$835.52 |
| 3008F |
|
795 |
777 |
$0.00 |
| 3074F |
|
428 |
421 |
$0.00 |
| 1126F |
|
119 |
118 |
$0.00 |
| 1101F |
|
190 |
185 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
637 |
625 |
$0.00 |
| 1036F |
|
36 |
36 |
$0.00 |
| 3079F |
|
120 |
120 |
$0.00 |
| 1125F |
|
39 |
38 |
$0.00 |
| 1111F |
|
25 |
25 |
$0.00 |
| 1090F |
|
179 |
175 |
$0.00 |
| 3078F |
|
293 |
289 |
$0.00 |
| 1159F |
|
157 |
153 |
$0.00 |
| 3288F |
|
57 |
57 |
$0.00 |
| 1160F |
|
17 |
17 |
$0.00 |
| G9920 |
Screening performed and negative |
18 |
17 |
$0.00 |