| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99497 |
|
658 |
657 |
$2K |
| 99386 |
|
242 |
242 |
$2K |
| 99214 |
|
795 |
755 |
$1K |
| 99213 |
|
752 |
700 |
$1K |
| 99385 |
|
291 |
291 |
$821.52 |
| 99406 |
|
392 |
391 |
$271.66 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
371 |
370 |
$215.07 |
| 96127 |
|
624 |
623 |
$123.58 |
| 99212 |
|
63 |
62 |
$108.60 |
| 99204 |
|
447 |
447 |
$62.01 |
| 1125F |
|
63 |
63 |
$0.00 |
| 3074F |
|
281 |
278 |
$0.00 |
| 1170F |
|
98 |
98 |
$0.00 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
392 |
392 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
62 |
62 |
$0.00 |
| 1101F |
|
150 |
150 |
$0.00 |
| 3044F |
|
103 |
103 |
$0.00 |
| 1126F |
|
51 |
51 |
$0.00 |
| 3075F |
|
13 |
12 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
28 |
27 |
$0.00 |
| 99441 |
|
12 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
124 |
124 |
$0.00 |
| 1159F |
|
589 |
589 |
$0.00 |
| 1160F |
|
447 |
447 |
$0.00 |
| 1158F |
|
15 |
15 |
$0.00 |
| 3078F |
|
267 |
263 |
$0.00 |
| 1128F |
|
59 |
59 |
$0.00 |
| 99203 |
|
129 |
129 |
$0.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
27 |
27 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
27 |
27 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
94 |
91 |
$0.00 |
| 99442 |
|
24 |
24 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
15 |
15 |
$0.00 |