| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
298 |
281 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
134 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
148 |
148 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$3K |
| 97802 |
|
118 |
118 |
$3K |
| 90461 |
|
72 |
72 |
$3K |
| 96127 |
|
59 |
59 |
$461.38 |
| 99188 |
|
12 |
12 |
$213.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$170.16 |
| S9451 |
Exercise classes, non-physician provider, per session |
137 |
137 |
$0.00 |
| 90686 |
|
24 |
24 |
$0.00 |
| 94760 |
|
73 |
68 |
$0.00 |
| 90633 |
|
39 |
39 |
$0.00 |