| Code | Description | Claims | Beneficiaries | Total Paid |
| 96156 |
|
715 |
691 |
$19K |
| 99394 |
|
481 |
437 |
$13K |
| 99393 |
|
283 |
265 |
$8K |
| 92552 |
|
718 |
712 |
$4K |
| 90460 |
|
652 |
543 |
$3K |
| 99392 |
|
111 |
99 |
$3K |
| 99213 |
|
866 |
787 |
$1K |
| 99214 |
|
941 |
830 |
$1K |
| 99173 |
|
737 |
733 |
$743.34 |
| 90471 |
|
88 |
82 |
$601.80 |
| 90686 |
|
317 |
302 |
$536.26 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
172 |
169 |
$359.48 |
| 97802 |
|
547 |
523 |
$318.04 |
| 99211 |
|
119 |
118 |
$308.97 |
| 90651 |
|
134 |
128 |
$282.00 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
168 |
165 |
$181.12 |
| 96110 |
|
41 |
40 |
$137.78 |
| 90700 |
|
43 |
43 |
$126.00 |
| 90713 |
|
29 |
28 |
$63.00 |
| 90472 |
|
13 |
12 |
$61.95 |
| 90461 |
|
27 |
25 |
$35.40 |
| 90685 |
|
36 |
28 |
$27.00 |
| 99212 |
|
31 |
31 |
$19.55 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
165 |
163 |
$0.00 |
| A4215 |
Needle, sterile, any size, each |
15 |
15 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
168 |
166 |
$0.00 |
| 99408 |
|
214 |
211 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |