| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,776 |
3,391 |
$239K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
341 |
$20K |
| 99215 |
Prolong outpt/office vis |
45 |
43 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
28 |
$3K |
| 96127 |
|
197 |
184 |
$768.74 |
| 90674 |
|
21 |
15 |
$288.74 |
| 99490 |
Ccm add 20min |
42 |
42 |
$284.21 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
51 |
51 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |