| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96160 |
|
26 |
21 |
$630.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
46 |
41 |
$225.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
752 |
724 |
$69.26 |
| 3078F |
|
410 |
397 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
20 |
19 |
$0.00 |
| 3725F |
|
56 |
56 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
36 |
36 |
$0.00 |
| 1159F |
|
135 |
133 |
$0.00 |
| 1160F |
|
136 |
134 |
$0.00 |
| 99421 |
|
15 |
15 |
$0.00 |
| 3061F |
|
26 |
26 |
$0.00 |
| 3008F |
|
117 |
114 |
$0.00 |
| 1126F |
|
409 |
403 |
$0.00 |
| 3079F |
|
132 |
129 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
121 |
119 |
$0.00 |
| 99441 |
|
278 |
245 |
$0.00 |
| 3074F |
|
577 |
558 |
$0.00 |
| 1125F |
|
212 |
209 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
110 |
108 |
$0.00 |
| 1170F |
|
75 |
73 |
$0.00 |