| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
192 |
179 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
196 |
182 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
229 |
226 |
$942.49 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$727.44 |
| 99490 |
Ccm add 20min |
24 |
24 |
$534.84 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
305 |
303 |
$359.51 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
109 |
109 |
$289.16 |
| 3074F |
|
143 |
137 |
$0.00 |
| 3079F |
|
80 |
77 |
$0.00 |
| 1125F |
|
76 |
73 |
$0.00 |
| 3075F |
|
58 |
58 |
$0.00 |
| 1126F |
|
55 |
53 |
$0.00 |
| 83880 |
|
14 |
14 |
$0.00 |
| 3078F |
|
299 |
282 |
$0.00 |
| 1160F |
|
246 |
224 |
$0.00 |
| 3077F |
|
120 |
111 |
$0.00 |