| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
27 |
27 |
$818.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$167.85 |
| 97802 |
|
41 |
41 |
$44.10 |
| 92552 |
|
38 |
38 |
$40.78 |
| 99173 |
|
29 |
29 |
$4.36 |
| H0001 |
Alcohol and/or drug assessment |
12 |
12 |
$0.00 |
| 4293F |
|
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
46 |
46 |
$0.00 |
| 1000F |
|
12 |
12 |
$0.00 |
| 3008F |
|
37 |
37 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
35 |
35 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12 |
12 |
$0.00 |
| 3016F |
|
12 |
12 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |