| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
368 |
342 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
75 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
100 |
41 |
$443.52 |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$282.48 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
208 |
207 |
$0.00 |
| 3074F |
|
36 |
36 |
$0.00 |
| 3079F |
|
13 |
13 |
$0.00 |
| 3078F |
|
27 |
27 |
$0.00 |