| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
199 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
281 |
249 |
$11K |
| 99401 |
|
194 |
169 |
$4K |
| 94010 |
|
121 |
110 |
$2K |
| 93000 |
|
50 |
48 |
$696.44 |
| 92567 |
|
39 |
35 |
$399.59 |
| 81003 |
|
65 |
64 |
$143.52 |
| 82962 |
|
13 |
12 |
$22.41 |
| 97803 |
|
203 |
176 |
$0.04 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |