| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,583 |
1,405 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
295 |
$22K |
| 92587 |
|
288 |
285 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
148 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
31 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$916.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$560.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
286 |
286 |
$500.00 |
| 90461 |
|
13 |
13 |
$473.99 |
| H0049 |
Alcohol and/or drug screening |
327 |
326 |
$290.00 |
| H0001 |
Alcohol and/or drug assessment |
161 |
161 |
$240.07 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
16 |
16 |
$130.00 |
| 99408 |
|
244 |
243 |
$40.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
360 |
359 |
$0.00 |
| 1036F |
|
171 |
171 |
$0.00 |
| 90688 |
|
36 |
36 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 3725F |
|
260 |
260 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
172 |
172 |
$0.00 |