| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
765 |
698 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$838.04 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$264.00 |
| 59025 |
Fetal non-stress test |
19 |
13 |
$253.08 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$159.12 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
330 |
329 |
$0.00 |
| 3725F |
|
330 |
329 |
$0.00 |