| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,231 |
1,226 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
687 |
685 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
177 |
176 |
$18K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
99 |
98 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
50 |
50 |
$3K |
| 99385 |
|
12 |
12 |
$1K |
| 99441 |
|
1,058 |
978 |
$1K |
| 99397 |
|
13 |
13 |
$1K |
| 99496 |
|
54 |
53 |
$248.32 |
| 90686 |
|
12 |
12 |
$227.92 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
231 |
229 |
$61.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
173 |
173 |
$42.57 |
| 3078F |
|
130 |
129 |
$0.00 |
| 4004F |
|
789 |
786 |
$0.00 |
| 3077F |
|
83 |
82 |
$0.00 |
| G9920 |
Screening performed and negative |
63 |
62 |
$0.00 |
| 3074F |
|
83 |
83 |
$0.00 |
| 3044F |
|
77 |
77 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |