| Code | Description | Claims | Bene. Records | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
78 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
57 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
72 |
72 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
15 |
$420.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
14 |
$218.12 |
| 3074F |
|
191 |
186 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
112 |
110 |
$0.00 |
| 3078F |
|
194 |
190 |
$0.00 |