| Code | Description | Claims | Beneficiaries | Total Paid |
| 92081 |
|
26 |
26 |
$1K |
| 92551 |
|
13 |
13 |
$150.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
47 |
$27.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
46 |
43 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
89 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
46 |
43 |
$0.00 |
| 1031F |
|
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 96160 |
|
47 |
47 |
$0.00 |
| 1033F |
|
12 |
12 |
$0.00 |