| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
55 |
$1K |
| 90688 |
|
14 |
14 |
$282.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$70.00 |
| 3016F |
|
76 |
76 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
14 |
14 |
$0.00 |
| 3725F |
|
72 |
72 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
117 |
117 |
$0.00 |
| H0001 |
Alcohol and/or drug assessment |
121 |
121 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
62 |
62 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
34 |
34 |
$0.00 |
| 1000F |
|
75 |
75 |
$0.00 |