| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
274 |
258 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
98 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$2K |
| 99441 |
|
32 |
31 |
$226.88 |
| A4927 |
Gloves, non-sterile, per 100 |
462 |
433 |
$0.00 |
| 90670 |
|
50 |
49 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
44 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
33 |
32 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
94 |
$0.00 |
| A4930 |
Gloves, sterile, per pair |
16 |
13 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
34 |
33 |
$0.00 |