| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
718 |
680 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
475 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
563 |
556 |
$27K |
| 92586 |
|
94 |
93 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
122 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$495.00 |
| 96127 |
|
100 |
93 |
$398.84 |
| 96160 |
|
15 |
13 |
$65.21 |
| 90686 |
|
70 |
70 |
$21.54 |
| S9451 |
Exercise classes, non-physician provider, per session |
244 |
237 |
$0.00 |
| 92558 |
|
188 |
187 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90648 |
|
13 |
12 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |