| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
80 |
78 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
96 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
71 |
71 |
$2K |
| 90461 |
|
35 |
35 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 97802 |
|
41 |
41 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
47 |
46 |
$0.00 |
| 94760 |
|
14 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |