| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,121 |
884 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
860 |
699 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
151 |
62 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
82 |
35 |
$4K |
| 96150 |
|
71 |
71 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
157 |
154 |
$780.00 |
| 3074F |
|
132 |
129 |
$0.00 |
| 1036F |
|
29 |
29 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
14 |
14 |
$0.00 |
| 3078F |
|
130 |
126 |
$0.00 |
| 99072 |
|
51 |
51 |
$0.00 |