| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,168 |
2,573 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,031 |
915 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
529 |
501 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
479 |
454 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
261 |
241 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
140 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,376 |
1,273 |
$6K |
| 92081 |
|
1,131 |
1,020 |
$5K |
| 90734 |
|
52 |
52 |
$1K |
| 90651 |
|
50 |
48 |
$1K |
| 90700 |
|
27 |
26 |
$938.19 |
| 90670 |
|
133 |
120 |
$759.97 |
| 90707 |
|
30 |
29 |
$453.20 |
| 90658 |
|
46 |
46 |
$276.23 |
| 90621 |
|
12 |
12 |
$247.35 |
| 90648 |
|
25 |
24 |
$119.58 |
| 97802 |
|
85 |
82 |
$72.11 |
| 90686 |
|
53 |
47 |
$52.14 |
| 92551 |
|
1,083 |
976 |
$25.14 |
| 90633 |
|
31 |
28 |
$10.00 |
| 90461 |
|
175 |
161 |
$0.00 |
| 90473 |
|
12 |
12 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
88 |
85 |
$0.00 |