| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
355 |
$348.94 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
624 |
$309.12 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
164 |
163 |
$0.00 |
| 96160 |
|
167 |
166 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 3078F |
|
126 |
125 |
$0.00 |
| 1159F |
|
409 |
401 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
48 |
48 |
$0.00 |
| 1160F |
|
409 |
401 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
66 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 3074F |
|
252 |
249 |
$0.00 |
| 3008F |
|
370 |
364 |
$0.00 |
| 3079F |
|
94 |
92 |
$0.00 |
| 3044F |
|
15 |
15 |
$0.00 |