| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
184 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,757 |
2,469 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
963 |
738 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,040 |
970 |
$5K |
| 99349 |
|
97 |
97 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
505 |
365 |
$5K |
| 99350 |
Prolong home eval add 15m |
47 |
47 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
145 |
144 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
23 |
$1K |
| 99497 |
|
556 |
553 |
$1K |
| 99345 |
Prolong home eval add 15m |
15 |
15 |
$808.20 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
35 |
35 |
$445.20 |
| 99000 |
|
106 |
106 |
$381.14 |
| 99442 |
|
255 |
221 |
$281.13 |
| 92552 |
|
397 |
394 |
$194.14 |
| G9920 |
Screening performed and negative |
68 |
68 |
$86.71 |
| 86580 |
|
26 |
26 |
$39.03 |
| 81002 |
|
219 |
218 |
$17.14 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
301 |
299 |
$16.34 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
539 |
532 |
$0.00 |
| 1159F |
|
629 |
597 |
$0.00 |
| 96160 |
|
232 |
229 |
$0.00 |
| 99173 |
|
382 |
380 |
$0.00 |
| 3288F |
|
30 |
30 |
$0.00 |
| 3078F |
|
163 |
158 |
$0.00 |
| 1160F |
|
25 |
25 |
$0.00 |
| 1158F |
|
29 |
29 |
$0.00 |
| 3077F |
|
47 |
42 |
$0.00 |
| 1100F |
|
12 |
12 |
$0.00 |
| 1220F |
|
19 |
19 |
$0.00 |
| 3079F |
|
93 |
84 |
$0.00 |
| 3008F |
|
1,865 |
1,726 |
$0.00 |
| 1036F |
|
181 |
170 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
263 |
259 |
$0.00 |
| 99447 |
|
16 |
16 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
33 |
32 |
$0.00 |
| 1126F |
|
215 |
214 |
$0.00 |
| 3074F |
|
179 |
167 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
34 |
34 |
$0.00 |
| 1170F |
|
43 |
43 |
$0.00 |
| 1125F |
|
16 |
14 |
$0.00 |
| 3351F |
|
19 |
19 |
$0.00 |