| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,816 |
4,530 |
$6K |
| 99245 |
|
60 |
60 |
$6K |
| 99215 |
Prolong outpt/office vis |
359 |
346 |
$3K |
| 99443 |
|
43 |
40 |
$793.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$316.98 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
859 |
$207.80 |
| 99442 |
|
15 |
15 |
$181.44 |
| 90688 |
|
24 |
24 |
$82.80 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,441 |
2,290 |
$3.48 |
| H0049 |
Alcohol and/or drug screening |
2,142 |
2,006 |
$0.01 |
| 3078F |
|
964 |
919 |
$0.00 |
| 3077F |
|
175 |
170 |
$0.00 |
| 4004F |
|
2,651 |
2,492 |
$0.00 |
| 3051F |
|
75 |
74 |
$0.00 |
| 3725F |
|
117 |
114 |
$0.00 |
| 3288F |
|
14 |
14 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 3074F |
|
949 |
907 |
$0.00 |
| 1036F |
|
1,961 |
1,859 |
$0.00 |
| 3044F |
|
933 |
900 |
$0.00 |
| 3079F |
|
274 |
269 |
$0.00 |
| 3080F |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| 3008F |
|
25 |
25 |
$0.00 |
| 3061F |
|
144 |
141 |
$0.00 |
| 3075F |
|
62 |
59 |
$0.00 |