| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
133 |
133 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
120 |
120 |
$2K |
| S9451 |
Exercise classes, non-physician provider, per session |
133 |
133 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
77 |
$841.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
153 |
$472.32 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
24 |
24 |
$345.07 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
76 |
$301.14 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
35 |
34 |
$268.08 |
| 99441 |
|
48 |
46 |
$263.76 |
| H0001 |
Alcohol and/or drug assessment |
14 |
14 |
$130.00 |
| 92552 |
|
13 |
13 |
$14.03 |
| 92551 |
|
43 |
43 |
$0.00 |
| 97802 |
|
59 |
56 |
$0.00 |
| 3008F |
|
213 |
211 |
$0.00 |
| 4293F |
|
14 |
14 |
$0.00 |
| 1000F |
|
29 |
29 |
$0.00 |
| 3074F |
|
27 |
25 |
$0.00 |
| 90686 |
|
54 |
54 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
14 |
14 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
14 |
14 |
$0.00 |
| 99173 |
|
43 |
43 |
$0.00 |
| 3078F |
|
22 |
20 |
$0.00 |
| 3016F |
|
14 |
14 |
$0.00 |
| 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 |
15 |
15 |
$0.00 |
| 3725F |
|
14 |
14 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
27 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |