| Code | Description | Claims | Beneficiaries | Total Paid |
| 96156 |
|
1,165 |
1,139 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,260 |
2,676 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,497 |
1,224 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
274 |
262 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
199 |
$11K |
| 92551 |
|
888 |
867 |
$11K |
| 96150 |
|
443 |
433 |
$10K |
| 90686 |
|
411 |
405 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
53 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
12 |
$798.30 |
| 81002 |
|
1,097 |
1,057 |
$557.95 |
| 99000 |
|
203 |
198 |
$522.76 |
| 96127 |
|
376 |
368 |
$396.65 |
| 83655 |
|
17 |
17 |
$359.20 |
| 90658 |
|
19 |
19 |
$171.00 |
| 85018 |
|
94 |
92 |
$160.81 |
| 87430 |
|
12 |
12 |
$158.65 |
| 81000 |
|
55 |
53 |
$124.74 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
37 |
$100.00 |
| 94760 |
|
48 |
40 |
$72.10 |
| 99406 |
|
14 |
14 |
$11.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
64 |
64 |
$5.00 |
| 3008F |
|
979 |
976 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
305 |
304 |
$0.00 |
| 2000F |
|
353 |
350 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
308 |
307 |
$0.00 |
| 1031F |
|
12 |
12 |
$0.00 |
| 1030F |
|
65 |
65 |
$0.00 |
| 1033F |
|
756 |
753 |
$0.00 |
| 4120F |
|
518 |
493 |
$0.00 |
| 99173 |
|
656 |
647 |
$0.00 |
| 4124F |
|
1,702 |
1,598 |
$0.00 |
| 3725F |
|
46 |
46 |
$0.00 |
| 3511F |
|
12 |
12 |
$0.00 |