| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
322 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
110 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
150 |
146 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78 |
78 |
$2K |
| 92567 |
|
106 |
104 |
$1K |
| 99188 |
|
120 |
120 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
25 |
$821.00 |
| 94060 |
|
15 |
15 |
$655.35 |
| 92551 |
|
62 |
62 |
$528.86 |
| 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 |
15 |
15 |
$262.54 |
| G0396 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes |
12 |
12 |
$214.50 |
| 99406 |
|
13 |
13 |
$140.47 |
| 90686 |
|
44 |
44 |
$19.45 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
26 |
26 |
$0.00 |