| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
438 |
408 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
481 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
41 |
$3K |
| 0011A |
|
37 |
37 |
$1K |
| 0064A |
|
25 |
25 |
$840.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
52 |
50 |
$385.00 |
| 0012A |
|
12 |
12 |
$280.00 |
| 1111F |
|
247 |
241 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
487 |
472 |
$0.00 |
| 3008F |
|
298 |
294 |
$0.00 |
| 3074F |
|
91 |
91 |
$0.00 |
| 91301 |
|
40 |
40 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
219 |
218 |
$0.00 |
| 3725F |
|
264 |
259 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
62 |
62 |
$0.00 |
| 3078F |
|
42 |
42 |
$0.00 |