| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,026 |
844 |
$5K |
| 99491 |
Ccm add 20min |
119 |
102 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
261 |
$323.95 |
| 99215 |
Prolong outpt/office vis |
46 |
45 |
$241.13 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$108.68 |
| 99490 |
Ccm add 20min |
15 |
15 |
$73.87 |
| 99406 |
|
31 |
31 |
$9.37 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
28 |
28 |
$0.00 |
| G0472 |
Hepatitis c antibody screening, for individual at high risk and other covered indication(s) |
28 |
28 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
42 |
42 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
27 |
27 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
26 |
26 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$0.00 |
| G9920 |
Screening performed and negative |
15 |
15 |
$0.00 |