| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
3,574 |
2,064 |
$195K |
| 99215 |
Prolong outpt/office vis |
257 |
248 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,627 |
2,534 |
$25K |
| 59430 |
|
283 |
248 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
112 |
112 |
$4K |
| 3351F |
|
247 |
246 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
282 |
282 |
$1K |
| 0500F |
|
14 |
14 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$1K |
| 88141 |
|
123 |
111 |
$918.82 |
| 3353F |
|
12 |
12 |
$900.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,104 |
1,103 |
$476.55 |
| 99385 |
|
15 |
14 |
$171.97 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
125 |
125 |
$108.80 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
15 |
15 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$17.92 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
26 |
26 |
$0.00 |