| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,063 |
1,767 |
$183K |
| 99442 |
|
146 |
145 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33 |
33 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
167 |
167 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
73 |
$1K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
82 |
82 |
$1K |
| 90686 |
|
58 |
58 |
$862.60 |
| 99051 |
|
53 |
51 |
$302.40 |
| 90656 |
|
13 |
13 |
$282.36 |
| 36415 |
Collection of venous blood by venipuncture |
995 |
972 |
$95.41 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
105 |
105 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99072 |
|
155 |
126 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
132 |
131 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
13 |
13 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
19 |
19 |
$0.00 |