| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90661 |
|
12 |
12 |
$442.20 |
| 1158F |
|
66 |
66 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 3078F |
|
100 |
99 |
$0.00 |
| 1159F |
|
285 |
252 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
54 |
54 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
67 |
67 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$0.00 |
| 1160F |
|
285 |
252 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |
| 4004F |
|
67 |
67 |
$0.00 |
| 0521F |
|
73 |
70 |
$0.00 |
| 99385 |
|
30 |
30 |
$0.00 |
| 3008F |
|
287 |
255 |
$0.00 |
| 3075F |
|
31 |
31 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
65 |
65 |
$0.00 |
| 1126F |
|
215 |
195 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
114 |
107 |
$0.00 |
| 3074F |
|
84 |
83 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
113 |
$0.00 |
| 3044F |
|
108 |
108 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
54 |
54 |
$0.00 |
| 1125F |
|
74 |
71 |
$0.00 |