| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,664 |
1,539 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,487 |
1,243 |
$42K |
| 99215 |
Prolong outpt/office vis |
91 |
91 |
$11K |
| 99000 |
|
1,679 |
1,516 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
68 |
68 |
$4K |
| 87110 |
|
99 |
97 |
$2K |
| 59430 |
|
38 |
26 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
106 |
106 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
43 |
$978.45 |
| 81025 |
|
327 |
315 |
$900.46 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
16 |
16 |
$396.00 |
| G9920 |
Screening performed and negative |
15 |
15 |
$258.39 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$219.93 |
| 81000 |
|
12 |
12 |
$27.81 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
141 |
139 |
$7.56 |
| H0049 |
Alcohol and/or drug screening |
209 |
209 |
$0.00 |
| 1035F |
|
28 |
28 |
$0.00 |
| 1036F |
|
123 |
123 |
$0.00 |
| 3351F |
|
31 |
31 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
215 |
215 |
$0.00 |