| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
934 |
934 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,205 |
1,143 |
$26K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
584 |
582 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
924 |
902 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
116 |
116 |
$1K |
| 81003 |
|
179 |
174 |
$132.48 |
| 99215 |
Prolong outpt/office vis |
236 |
229 |
$113.26 |
| 99000 |
|
29 |
29 |
$71.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$68.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
411 |
409 |
$42.36 |
| G9920 |
Screening performed and negative |
406 |
404 |
$28.71 |
| 96156 |
|
215 |
215 |
$15.00 |
| H0049 |
Alcohol and/or drug screening |
793 |
789 |
$0.00 |
| 1126F |
|
1,860 |
1,809 |
$0.00 |
| 1125F |
|
1,214 |
1,185 |
$0.00 |
| 3074F |
|
2,364 |
2,279 |
$0.00 |
| 3079F |
|
444 |
437 |
$0.00 |
| 3008F |
|
3,253 |
3,112 |
$0.00 |
| 99386 |
|
39 |
39 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
45 |
45 |
$0.00 |
| 3075F |
|
24 |
24 |
$0.00 |
| 1036F |
|
40 |
40 |
$0.00 |
| 3080F |
|
16 |
14 |
$0.00 |
| 99385 |
|
15 |
15 |
$0.00 |
| 3078F |
|
2,217 |
2,147 |
$0.00 |
| 1160F |
|
3,805 |
3,628 |
$0.00 |
| 1159F |
|
3,804 |
3,626 |
$0.00 |
| 99408 |
|
43 |
43 |
$0.00 |
| 90863 |
|
121 |
120 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
125 |
125 |
$0.00 |
| 3077F |
|
34 |
29 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |