| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,086 |
902 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
206 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
42 |
$1K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$635.57 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$458.08 |
| 96127 |
|
40 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
36 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
34 |
32 |
$0.00 |