| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
240 |
239 |
$2K |
| 96151 |
|
78 |
78 |
$2K |
| 90686 |
|
177 |
177 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
617 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$735.41 |
| 92551 |
|
29 |
29 |
$381.64 |
| G9920 |
Screening performed and negative |
150 |
147 |
$319.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
85 |
$286.37 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
122 |
118 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
75 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$0.00 |
| 97802 |
|
12 |
12 |
$0.00 |