| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,948 |
4,713 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,483 |
1,441 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
97 |
97 |
$1K |
| 99000 |
|
1,384 |
1,360 |
$489.15 |
| 92551 |
|
460 |
458 |
$73.59 |
| 92015 |
Determination of refractive state |
445 |
444 |
$30.28 |
| 93000 |
|
61 |
58 |
$29.70 |
| 99385 |
|
71 |
71 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,514 |
1,506 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
1,412 |
1,402 |
$0.00 |
| 3074F |
|
363 |
352 |
$0.00 |
| 3080F |
|
58 |
56 |
$0.00 |
| 3044F |
|
64 |
62 |
$0.00 |
| 99496 |
|
63 |
59 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3079F |
|
296 |
289 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |
| 99386 |
|
42 |
40 |
$0.00 |
| 3008F |
|
107 |
103 |
$0.00 |
| 1160F |
|
16 |
16 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
235 |
233 |
$0.00 |
| 3077F |
|
224 |
215 |
$0.00 |
| 99173 |
|
115 |
113 |
$0.00 |
| 3078F |
|
232 |
225 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
113 |
111 |
$0.00 |
| 1159F |
|
16 |
16 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
86 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
13 |
13 |
$0.00 |