| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,420 |
746 |
$199.48 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$153.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,429 |
3,893 |
$81.94 |
| 1158F |
|
433 |
199 |
$0.00 |
| 1160F |
|
723 |
436 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
165 |
85 |
$0.00 |
| 1159F |
|
564 |
318 |
$0.00 |
| 99387 |
|
69 |
30 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
207 |
199 |
$0.00 |
| 3078F |
|
373 |
282 |
$0.00 |
| 1125F |
|
210 |
109 |
$0.00 |
| 99385 |
|
197 |
120 |
$0.00 |
| 1170F |
|
710 |
429 |
$0.00 |
| 3017F |
|
33 |
14 |
$0.00 |
| 3075F |
|
238 |
125 |
$0.00 |
| 99386 |
|
277 |
175 |
$0.00 |
| 1126F |
|
83 |
83 |
$0.00 |
| 3008F |
|
85 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
324 |
172 |
$0.00 |
| 3079F |
|
183 |
88 |
$0.00 |
| 2000F |
|
63 |
61 |
$0.00 |
| 3074F |
|
262 |
197 |
$0.00 |