| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
373 |
124 |
$10K |
| 99401 |
|
694 |
204 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
62 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
109 |
31 |
$3K |
| 99408 |
|
475 |
130 |
$3K |
| 96127 |
|
571 |
151 |
$3K |
| 99215 |
Prolong outpt/office vis |
43 |
12 |
$1K |
| 36410 |
|
302 |
97 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
12 |
$597.60 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
58 |
33 |
$562.08 |
| 99406 |
|
293 |
66 |
$438.48 |
| 93000 |
|
34 |
12 |
$175.00 |
| 87077 |
|
91 |
19 |
$112.60 |
| 81001 |
|
173 |
30 |
$99.66 |
| 81003 |
|
88 |
32 |
$0.63 |
| 99000 |
|
333 |
90 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
21 |
18 |
$0.00 |