| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
787 |
750 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
582 |
533 |
$13K |
| 99205 |
Prolong outpt/office vis |
143 |
143 |
$11K |
| 99385 |
|
60 |
60 |
$7K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
515 |
436 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
47 |
$5K |
| 99215 |
Prolong outpt/office vis |
47 |
47 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
192 |
192 |
$2K |
| 99442 |
|
18 |
17 |
$1K |
| 96127 |
|
65 |
63 |
$304.64 |
| 99443 |
|
14 |
12 |
$20.03 |
| 3330F |
|
119 |
117 |
$0.00 |
| 1036F |
|
323 |
323 |
$0.00 |
| 3011F |
|
264 |
260 |
$0.00 |
| 3044F |
|
26 |
25 |
$0.00 |
| 3008F |
|
350 |
348 |
$0.00 |
| 3324F |
|
26 |
25 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
36 |
36 |
$0.00 |
| 0521F |
|
266 |
261 |
$0.00 |
| G9920 |
Screening performed and negative |
48 |
48 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
40 |
40 |
$0.00 |
| 1160F |
|
51 |
51 |
$0.00 |
| 4013F |
|
43 |
43 |
$0.00 |
| 3050F |
|
14 |
14 |
$0.00 |
| 99401 |
|
17 |
16 |
$0.00 |