| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
902 |
895 |
$15K |
| 99233 |
Prolong inpt eval add15 m |
777 |
147 |
$12K |
| 90961 |
|
82 |
82 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
333 |
56 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
284 |
279 |
$1K |
| 99223 |
Prolong inpt eval add15 m |
15 |
14 |
$238.70 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
25 |
$0.00 |
| 96156 |
|
25 |
25 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |
| 3078F |
|
20 |
20 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| 96160 |
|
25 |
25 |
$0.00 |
| 90791 |
Psychiatric diagnostic evaluation |
25 |
25 |
$0.00 |