| Code | Description | Claims | Beneficiaries | Total Paid |
| 0502F |
|
266 |
188 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
44 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
26 |
$2K |
| 96127 |
|
82 |
55 |
$792.53 |
| 96160 |
|
35 |
18 |
$482.82 |
| 1036F |
|
28 |
16 |
$0.00 |
| 3074F |
|
61 |
34 |
$0.00 |
| 1220F |
|
79 |
52 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
24 |
$0.00 |
| 3351F |
|
13 |
12 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
61 |
34 |
$0.00 |
| 3078F |
|
61 |
34 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
61 |
34 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
21 |
13 |
$0.00 |