| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
642 |
642 |
$50K |
| 99349 |
|
630 |
630 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
178 |
$10K |
| 99205 |
Prolong outpt/office vis |
64 |
64 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
102 |
102 |
$5K |
| 99348 |
|
131 |
131 |
$5K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
193 |
193 |
$3K |
| 90688 |
|
85 |
85 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
172 |
172 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
27 |
$727.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
78 |
$641.77 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$595.31 |
| 99401 |
|
37 |
37 |
$560.00 |
| 90656 |
|
12 |
12 |
$261.67 |
| 99336 |
|
302 |
302 |
$169.20 |
| 90686 |
|
16 |
16 |
$128.21 |
| 90658 |
|
59 |
59 |
$46.39 |
| 86580 |
|
12 |
12 |
$3.36 |
| 99335 |
|
81 |
81 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$0.00 |