| Code | Description | Claims | Beneficiaries | Total Paid |
| 99441 |
|
38 |
38 |
$421.69 |
| 99401 |
|
25 |
25 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
24 |
24 |
$0.00 |
| 96160 |
|
12 |
12 |
$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 |
12 |
12 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
12 |
12 |
$0.00 |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
12 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
88 |
$0.00 |
| 96127 |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
25 |
25 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
24 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |