| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,953 |
2,549 |
$994.80 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
36 |
34 |
$60.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
33 |
32 |
$16.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
27 |
$0.01 |
| 1101F |
|
36 |
34 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 1170F |
|
36 |
34 |
$0.00 |
| 0509F |
|
34 |
33 |
$0.00 |
| 36410 |
|
12 |
12 |
$0.00 |
| 3008F |
|
161 |
158 |
$0.00 |
| Q3014 |
Telehealth originating site facility fee |
111 |
102 |
$0.00 |
| 99443 |
|
22 |
19 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |
| 99490 |
Ccm add 20min |
439 |
439 |
$0.00 |
| 81002 |
|
14 |
14 |
$0.00 |
| 3288F |
|
36 |
34 |
$0.00 |
| 1090F |
|
31 |
31 |
$0.00 |
| 1159F |
|
33 |
31 |
$0.00 |
| 1160F |
|
33 |
31 |
$0.00 |
| 1158F |
|
36 |
34 |
$0.00 |
| 3078F |
|
14 |
14 |
$0.00 |
| 0521F |
|
35 |
33 |
$0.00 |