| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,169 |
1,142 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
259 |
250 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$457.60 |
| 90686 |
|
39 |
36 |
$242.00 |
| 92551 |
|
15 |
15 |
$61.60 |
| 99173 |
|
15 |
15 |
$59.40 |
| 1000F |
|
200 |
194 |
$0.00 |
| 3008F |
|
1,238 |
1,202 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
112 |
108 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
153 |
151 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
16 |
16 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 99080 |
|
14 |
14 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
24 |
24 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |