| Code | Description | Claims | Beneficiaries | Total Paid |
| 95813 |
|
1,619 |
1,618 |
$730K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,479 |
6,274 |
$622K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,315 |
4,147 |
$559K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,176 |
2,171 |
$401K |
| 99205 |
Prolong outpt/office vis |
463 |
463 |
$113K |
| 99441 |
|
1,974 |
1,946 |
$77K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,138 |
2,118 |
$54K |
| 95700 |
|
39 |
39 |
$5K |
| 93224 |
|
42 |
39 |
$4K |
| 93040 |
|
251 |
251 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$166.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
76 |
73 |
$0.00 |
| 96127 |
|
82 |
81 |
$0.00 |
| 1000F |
|
77 |
74 |
$0.00 |
| 1036F |
|
76 |
73 |
$0.00 |
| 3725F |
|
71 |
70 |
$0.00 |