| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,096 |
2,887 |
$110K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
241 |
241 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$658.46 |
| 99173 |
|
104 |
104 |
$363.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$319.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$264.00 |
| 92551 |
|
46 |
46 |
$200.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$76.90 |
| 92552 |
|
13 |
13 |
$61.60 |
| 3008F |
|
1,369 |
1,312 |
$0.00 |
| 3074F |
|
1,423 |
1,367 |
$0.00 |
| 3079F |
|
686 |
667 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
120 |
120 |
$0.00 |
| 3075F |
|
143 |
137 |
$0.00 |
| 4010F |
|
37 |
37 |
$0.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
15 |
$0.00 |
| 3078F |
|
1,070 |
1,040 |
$0.00 |
| 1003F |
|
202 |
202 |
$0.00 |
| 3077F |
|
27 |
27 |
$0.00 |