| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,799 |
1,755 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,187 |
1,165 |
$10K |
| 99215 |
Prolong outpt/office vis |
75 |
75 |
$2K |
| 3074F |
|
533 |
531 |
$484.00 |
| 3078F |
|
503 |
501 |
$464.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
307 |
307 |
$114.64 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
13 |
13 |
$107.41 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
52 |
51 |
$18.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
34 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |