| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
148 |
133 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
220 |
$8K |
| 96151 |
|
70 |
69 |
$2K |
| 90686 |
|
125 |
124 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
104 |
100 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
105 |
$957.26 |
| 96150 |
|
30 |
30 |
$721.06 |
| 92551 |
|
117 |
115 |
$489.76 |
| G9920 |
Screening performed and negative |
61 |
58 |
$488.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
13 |
$400.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
56 |
56 |
$228.07 |
| 92552 |
|
12 |
12 |
$220.72 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
80 |
80 |
$183.82 |
| 90658 |
|
20 |
20 |
$180.00 |
| 99173 |
|
92 |
90 |
$37.82 |
| 86580 |
|
62 |
60 |
$23.73 |
| 85999 |
|
64 |
62 |
$15.05 |
| 81001 |
|
63 |
61 |
$2.87 |
| S9451 |
Exercise classes, non-physician provider, per session |
42 |
42 |
$0.00 |
| 81000 |
|
62 |
60 |
$0.00 |
| 3008F |
|
82 |
82 |
$0.00 |
| 1030F |
|
14 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
226 |
142 |
$0.00 |