| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,394 |
4,364 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,615 |
$18K |
| 99429 |
|
508 |
507 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
470 |
470 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,563 |
2,164 |
$7K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
300 |
300 |
$6K |
| 3008F |
|
348 |
348 |
$4K |
| H0049 |
Alcohol and/or drug screening |
185 |
185 |
$4K |
| 96127 |
|
422 |
422 |
$2K |
| 3725F |
|
433 |
433 |
$2K |
| 99497 |
|
510 |
510 |
$2K |
| 1123F |
|
153 |
152 |
$1K |
| 97124 |
|
148 |
25 |
$1K |
| 3079F |
|
39 |
39 |
$770.32 |
| G0283 |
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
148 |
25 |
$337.02 |
| 1160F |
|
143 |
141 |
$320.00 |
| 1170F |
|
138 |
137 |
$310.00 |
| 97035 |
|
148 |
25 |
$288.40 |
| 1125F |
|
93 |
93 |
$250.00 |
| 3077F |
|
16 |
16 |
$240.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
518 |
518 |
$110.42 |
| 90756 |
|
26 |
26 |
$93.52 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
503 |
503 |
$61.30 |
| 90688 |
|
15 |
15 |
$54.86 |
| 3044F |
|
13 |
13 |
$50.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
726 |
726 |
$15.54 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$0.00 |