| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,417 |
2,767 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,897 |
3,389 |
$23K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
245 |
200 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
127 |
127 |
$4K |
| 99385 |
|
74 |
74 |
$4K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
191 |
191 |
$4K |
| 93000 |
|
117 |
92 |
$3K |
| 99443 |
|
528 |
432 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
107 |
97 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
305 |
210 |
$2K |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
96 |
96 |
$1K |
| 99497 |
|
15 |
15 |
$950.60 |
| 99386 |
|
23 |
23 |
$611.76 |
| 99406 |
|
134 |
132 |
$580.62 |
| G9920 |
Screening performed and negative |
71 |
71 |
$525.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
73 |
72 |
$415.00 |
| H0001 |
Alcohol and/or drug assessment |
13 |
13 |
$225.00 |
| 99000 |
|
292 |
258 |
$136.29 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$68.21 |
| 3079F |
|
133 |
124 |
$50.00 |
| 3077F |
|
83 |
73 |
$50.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
84 |
$39.29 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
99 |
79 |
$0.10 |
| 3074F |
|
256 |
223 |
$0.00 |
| 3080F |
|
79 |
67 |
$0.00 |
| 3075F |
|
65 |
59 |
$0.00 |
| 1036F |
|
182 |
131 |
$0.00 |
| 3078F |
|
191 |
158 |
$0.00 |