| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
58 |
$283.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
231 |
219 |
$155.78 |
| 92081 |
|
15 |
15 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
18 |
18 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
12 |
12 |
$0.00 |
| 92551 |
|
15 |
15 |
$0.00 |
| 85018 |
|
26 |
26 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$0.00 |
| 81000 |
|
26 |
26 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 3008F |
|
12 |
12 |
$0.00 |