| Code | Description | Claims | Beneficiaries | Total Paid |
| 81003 |
|
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
443 |
443 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
129 |
129 |
$0.00 |
| 92015 |
Determination of refractive state |
420 |
419 |
$0.00 |
| 81025 |
|
24 |
24 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| 97803 |
|
28 |
28 |
$0.00 |
| 93000 |
|
165 |
164 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,102 |
3,837 |
$0.00 |
| 92551 |
|
399 |
399 |
$0.00 |
| 99000 |
|
330 |
329 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
490 |
490 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
25 |
25 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
146 |
141 |
$0.00 |