| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,378 |
6,584 |
$46K |
| 99205 |
Prolong outpt/office vis |
318 |
317 |
$15K |
| 99215 |
Prolong outpt/office vis |
1,098 |
1,055 |
$14K |
| 99385 |
|
462 |
439 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
48 |
47 |
$6K |
| 94760 |
|
936 |
808 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
209 |
209 |
$3K |
| 92552 |
|
234 |
234 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,090 |
$3K |
| 96127 |
|
385 |
383 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
49 |
48 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$875.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,046 |
4,005 |
$345.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
42 |
$252.56 |
| 90688 |
|
14 |
14 |
$231.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
900 |
859 |
$173.94 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
93 |
93 |
$137.22 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
127 |
$101.87 |
| 90686 |
|
13 |
13 |
$95.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$66.24 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
133 |
133 |
$58.76 |
| G9919 |
Screening performed and positive and provision of recommendations |
2,490 |
2,459 |
$19.96 |
| G9920 |
Screening performed and negative |
248 |
248 |
$9.00 |
| H0049 |
Alcohol and/or drug screening |
1,924 |
1,872 |
$0.00 |
| 3044F |
|
1,494 |
1,490 |
$0.00 |
| 3074F |
|
592 |
583 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 99384 |
|
15 |
15 |
$0.00 |
| 1220F |
|
20 |
20 |
$0.00 |
| 3075F |
|
14 |
14 |
$0.00 |
| 3079F |
|
17 |
17 |
$0.00 |
| 4004F |
|
3,661 |
3,617 |
$0.00 |
| 3078F |
|
586 |
577 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |