| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
713 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
397 |
$6K |
| 92552 |
|
261 |
261 |
$760.93 |
| S9470 |
Nutritional counseling, dietitian visit |
230 |
230 |
$452.83 |
| 90686 |
|
109 |
109 |
$120.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$104.22 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$36.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
24 |
24 |
$33.42 |
| 99173 |
|
213 |
213 |
$32.55 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
53 |
$14.80 |
| 3008F |
|
260 |
260 |
$0.00 |
| 90656 |
|
30 |
30 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |