| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,921 |
3,816 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,432 |
5,195 |
$10K |
| 90686 |
|
213 |
213 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
85 |
$1K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,487 |
1,478 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$600.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
193 |
192 |
$480.65 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
53 |
53 |
$220.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,233 |
1,225 |
$219.78 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
277 |
274 |
$213.29 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
328 |
327 |
$177.64 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
225 |
225 |
$145.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
127 |
109 |
$140.05 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
64 |
$35.00 |
| 99406 |
|
14 |
13 |
$31.23 |
| 97802 |
|
240 |
240 |
$30.05 |
| 99407 |
|
13 |
13 |
$19.73 |
| 88141 |
|
37 |
37 |
$12.64 |
| 1160F |
|
1,107 |
1,076 |
$0.00 |
| 3077F |
|
197 |
177 |
$0.00 |
| 3078F |
|
40 |
39 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 3080F |
|
152 |
133 |
$0.00 |
| 2010F |
|
12 |
12 |
$0.00 |
| 3074F |
|
79 |
78 |
$0.00 |
| 99447 |
|
530 |
492 |
$0.00 |
| 3079F |
|
195 |
190 |
$0.00 |
| 3044F |
|
212 |
205 |
$0.00 |
| 3353F |
|
68 |
68 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 3075F |
|
40 |
39 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |