| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
154 |
149 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
84 |
82 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
60 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
116 |
116 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
29 |
$3K |
| 97802 |
|
94 |
94 |
$3K |
| 90461 |
|
51 |
51 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99188 |
|
12 |
12 |
$213.84 |
| 96127 |
|
15 |
15 |
$117.30 |
| S9451 |
Exercise classes, non-physician provider, per session |
103 |
103 |
$0.00 |
| 90633 |
|
15 |
15 |
$0.00 |