| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
|
73 |
73 |
$998.40 |
| 99213 |
|
175 |
170 |
$900.00 |
| 99393 |
|
55 |
55 |
$350.00 |
| 99401 |
|
179 |
177 |
$310.00 |
| 99443 |
|
21 |
20 |
$260.16 |
| 92587 |
|
45 |
45 |
$160.50 |
| 99394 |
|
29 |
29 |
$108.00 |
| 99442 |
|
17 |
16 |
$90.24 |
| 90460 |
|
25 |
25 |
$61.44 |
| 99392 |
|
36 |
36 |
$55.00 |
| 85018 |
|
23 |
23 |
$54.69 |
| 99173 |
|
45 |
45 |
$34.88 |
| 81002 |
|
45 |
45 |
$10.44 |
| 96127 |
|
18 |
18 |
$9.42 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
160 |
159 |
$1.60 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
164 |
164 |
$1.00 |
| 87110 |
|
24 |
24 |
$0.24 |
| 97802 |
|
161 |
159 |
$0.10 |
| H0001 |
Alcohol and/or drug assessment |
18 |
18 |
$0.02 |
| A4927 |
Gloves, non-sterile, per 100 |
72 |
71 |
$0.00 |
| 3016F |
|
18 |
18 |
$0.00 |
| 1159F |
|
74 |
74 |
$0.00 |
| A4245 |
Alcohol wipes, per box |
56 |
55 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
18 |
18 |
$0.00 |
| A6413 |
Adhesive bandage, first-aid type, any size, each |
29 |
28 |
$0.00 |
| 3725F |
|
18 |
18 |
$0.00 |
| 99441 |
|
75 |
69 |
$0.00 |
| 3351F |
|
17 |
17 |
$0.00 |
| 3008F |
|
142 |
140 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
74 |
74 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
17 |
17 |
$0.00 |
| 1220F |
|
18 |
18 |
$0.00 |
| 36415 |
|
19 |
19 |
$0.00 |
| 2010F |
|
94 |
94 |
$0.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| 1000F |
|
18 |
18 |
$0.00 |