| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
342 |
310 |
$118.80 |
| 1159F |
|
75 |
65 |
$0.00 |
| 3078F |
|
231 |
215 |
$0.00 |
| 1160F |
|
227 |
204 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
225 |
200 |
$0.00 |
| 3077F |
|
44 |
41 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
571 |
494 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$0.00 |
| 3079F |
|
188 |
174 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
179 |
164 |
$0.00 |
| 3075F |
|
148 |
136 |
$0.00 |
| 2010F |
|
232 |
208 |
$0.00 |
| 1036F |
|
285 |
256 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
182 |
164 |
$0.00 |
| 3074F |
|
259 |
238 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 1111F |
|
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
96 |
$0.00 |
| 3044F |
|
201 |
199 |
$0.00 |
| 3080F |
|
27 |
26 |
$0.00 |