| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
537 |
474 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
183 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
62 |
62 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
185 |
88 |
$890.25 |
| 99051 |
|
76 |
74 |
$567.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
18 |
$437.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
132 |
132 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 90680 |
|
17 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
15 |
$0.00 |
| 90700 |
|
42 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
77 |
77 |
$0.00 |
| 90461 |
|
40 |
37 |
$0.00 |
| 97803 |
|
123 |
123 |
$0.00 |
| 90670 |
|
19 |
14 |
$0.00 |
| 99173 |
|
52 |
52 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90713 |
|
39 |
30 |
$0.00 |