| Code | Description | Claims | Beneficiaries | Total Paid |
| S8301 |
Infection control supplies, not otherwise specified |
18 |
12 |
$104.50 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
14 |
14 |
$33.00 |
| 92551 |
|
42 |
35 |
$22.22 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
14 |
14 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
43 |
36 |
$0.00 |
| 99173 |
|
42 |
35 |
$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 |
14 |
14 |
$0.00 |