| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,501 |
3,402 |
$149K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,675 |
4,475 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,423 |
1,346 |
$29K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
527 |
526 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
80 |
$5K |
| 90688 |
|
102 |
102 |
$3K |
| 93000 |
|
45 |
42 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$877.40 |
| 82947 |
|
1,222 |
1,170 |
$874.38 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$867.16 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
13 |
13 |
$229.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
60 |
60 |
$109.25 |
| 85018 |
|
99 |
97 |
$41.49 |
| 81003 |
|
66 |
65 |
$26.91 |
| 96127 |
|
291 |
290 |
$7.43 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
193 |
192 |
$1.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
46 |
46 |
$0.25 |
| 98960 |
|
35 |
35 |
$0.13 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
21 |
$0.00 |
| 1036F |
|
361 |
359 |
$0.00 |
| 3700F |
|
452 |
451 |
$0.00 |
| 1000F |
|
406 |
403 |
$0.00 |