| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
200 |
$65.60 |
| 1126F |
|
486 |
467 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
296 |
289 |
$0.00 |
| 3079F |
|
229 |
222 |
$0.00 |
| 94760 |
|
325 |
315 |
$0.00 |
| 3008F |
|
612 |
581 |
$0.00 |
| 3074F |
|
560 |
531 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
233 |
227 |
$0.00 |
| 1170F |
|
554 |
528 |
$0.00 |
| 3044F |
|
165 |
139 |
$0.00 |
| 1125F |
|
123 |
118 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
204 |
$0.00 |
| 1157F |
|
55 |
53 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
279 |
272 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
145 |
141 |
$0.00 |
| 1159F |
|
886 |
822 |
$0.00 |
| 4004F |
|
345 |
337 |
$0.00 |
| 3078F |
|
325 |
313 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |
| 1160F |
|
882 |
820 |
$0.00 |
| 1158F |
|
576 |
548 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
21 |
21 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
156 |
152 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$0.00 |
| 96160 |
|
33 |
33 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$0.00 |
| 0521F |
|
13 |
12 |
$0.00 |