| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
224 |
205 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
174 |
137 |
$3K |
| 92552 |
|
119 |
117 |
$2K |
| 96150 |
|
102 |
99 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
85 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
81 |
$1K |
| 90686 |
|
116 |
116 |
$1K |
| G9920 |
Screening performed and negative |
103 |
97 |
$892.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
33 |
27 |
$855.21 |
| 92551 |
|
101 |
100 |
$716.32 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
191 |
187 |
$278.61 |
| 96151 |
|
12 |
12 |
$242.44 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
62 |
61 |
$80.37 |
| 85018 |
|
31 |
31 |
$65.73 |
| 99173 |
|
138 |
137 |
$48.22 |
| 86580 |
|
31 |
30 |
$10.00 |
| 85999 |
|
30 |
29 |
$3.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
121 |
119 |
$0.00 |
| 3008F |
|
192 |
190 |
$0.00 |
| 81000 |
|
30 |
29 |
$0.00 |
| 1030F |
|
158 |
147 |
$0.00 |
| 81001 |
|
30 |
29 |
$0.00 |
| 1033F |
|
313 |
300 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
153 |
117 |
$0.00 |