| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
57 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
90 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
42 |
$3K |
| 97802 |
|
48 |
48 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
123 |
120 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$750.00 |
| 90461 |
|
13 |
13 |
$551.59 |
| 92551 |
|
30 |
30 |
$289.04 |
| 99406 |
|
15 |
15 |
$192.12 |
| S9451 |
Exercise classes, non-physician provider, per session |
13 |
13 |
$134.88 |
| 3008F |
|
50 |
50 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
37 |
$0.00 |
| 99173 |
|
33 |
33 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
17 |
17 |
$0.00 |