| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,979 |
3,308 |
$835.21 |
| 99215 |
Prolong outpt/office vis |
712 |
673 |
$113.83 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
787 |
694 |
$23.76 |
| 82948 |
|
522 |
430 |
$4.94 |
| 81002 |
|
96 |
95 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
79 |
76 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
51 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
186 |
182 |
$0.00 |
| 93000 |
|
306 |
302 |
$0.00 |
| 3008F |
|
198 |
188 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
121 |
121 |
$0.00 |
| 1220F |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 1125F |
|
16 |
16 |
$0.00 |