| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,904 |
3,738 |
$904.94 |
| 90658 |
|
121 |
121 |
$285.97 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
423 |
$95.75 |
| 3078F |
|
489 |
483 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
175 |
172 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
148 |
148 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
13 |
13 |
$0.00 |
| 1159F |
|
131 |
131 |
$0.00 |
| 1124F |
|
147 |
147 |
$0.00 |
| 98966 |
|
16 |
14 |
$0.00 |
| 99173 |
|
28 |
28 |
$0.00 |
| G9920 |
Screening performed and negative |
119 |
119 |
$0.00 |
| 3077F |
|
19 |
18 |
$0.00 |
| 91300 |
|
28 |
18 |
$0.00 |
| 3008F |
|
1,073 |
1,062 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
47 |
47 |
$0.00 |
| 3074F |
|
397 |
395 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
140 |
140 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
310 |
310 |
$0.00 |
| 85018 |
|
69 |
69 |
$0.00 |
| 92583 |
|
26 |
26 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
82 |
82 |
$0.00 |
| 81000 |
|
14 |
14 |
$0.00 |
| 99441 |
|
35 |
26 |
$0.00 |
| 0001A |
|
19 |
16 |
$0.00 |