| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,511 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
630 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
43 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
112 |
108 |
$1K |
| 97803 |
|
50 |
50 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
224 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$983.57 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
22 |
22 |
$410.64 |
| 81002 |
|
63 |
63 |
$97.44 |
| 99173 |
|
49 |
49 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
51 |
51 |
$0.00 |
| 96127 |
|
15 |
15 |
$0.00 |