| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,330 |
1,890 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
200 |
198 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
136 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
59 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
924 |
882 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 90686 |
|
338 |
312 |
$66.71 |
| 97802 |
|
272 |
269 |
$61.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
248 |
244 |
$0.00 |
| 90461 |
|
109 |
104 |
$0.00 |