| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
51 |
42 |
$4K |
| D0190 |
|
278 |
251 |
$3K |
| 92081 |
|
163 |
149 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
200 |
180 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
226 |
210 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
35 |
35 |
$1K |
| 97802 |
|
167 |
156 |
$992.89 |
| 96111 |
|
26 |
25 |
$480.00 |
| 81000 |
|
136 |
126 |
$396.99 |
| 96127 |
|
68 |
62 |
$182.72 |
| 81003 |
|
70 |
64 |
$114.15 |
| 90688 |
|
17 |
17 |
$17.84 |
| 2000F |
|
114 |
96 |
$0.00 |
| 3011F |
|
88 |
72 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
148 |
130 |
$0.00 |