| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,159 |
1,770 |
$145K |
| 99214 |
|
910 |
756 |
$80K |
| 95004 |
|
179 |
174 |
$13K |
| 90682 |
|
131 |
131 |
$8K |
| 99396 |
|
49 |
49 |
$6K |
| 99395 |
|
35 |
34 |
$4K |
| 93000 |
|
350 |
350 |
$4K |
| 90756 |
|
110 |
110 |
$3K |
| 90471 |
|
275 |
274 |
$3K |
| 91065 |
|
99 |
98 |
$2K |
| 90836 |
|
32 |
29 |
$2K |
| 0004A |
|
46 |
46 |
$2K |
| 87110 |
|
209 |
206 |
$2K |
| 95922 |
|
14 |
14 |
$796.32 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
22 |
19 |
$648.45 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
33 |
33 |
$334.02 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
17 |
16 |
$203.37 |
| 3079F |
|
81 |
69 |
$70.00 |
| 3074F |
|
31 |
25 |
$52.50 |
| 3075F |
|
15 |
13 |
$45.00 |
| 36415 |
|
686 |
672 |
$33.54 |
| 95921 |
|
14 |
14 |
$0.00 |
| 1159F |
|
24 |
16 |
$0.00 |
| 1160F |
|
24 |
16 |
$0.00 |
| 93922 |
|
12 |
12 |
$0.00 |
| 99000 |
|
340 |
334 |
$0.00 |
| 3017F |
|
16 |
15 |
$0.00 |
| 3008F |
|
181 |
159 |
$0.00 |