| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,518 |
2,422 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,237 |
1,211 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
373 |
369 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$4K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
127 |
126 |
$1K |
| 99051 |
|
38 |
37 |
$900.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
103 |
103 |
$695.75 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$222.00 |
| 96127 |
|
42 |
42 |
$180.60 |
| 3074F |
|
1,968 |
1,866 |
$0.00 |
| 3079F |
|
70 |
69 |
$0.00 |
| 3008F |
|
128 |
119 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| 3078F |
|
1,856 |
1,766 |
$0.00 |
| 4035F |
|
12 |
12 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |