| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
413 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
522 |
510 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
240 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
83 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
85 |
$7K |
| 92586 |
|
99 |
97 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
43 |
$2K |
| 96127 |
|
172 |
156 |
$540.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
23 |
16 |
$458.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$330.00 |
| 96160 |
|
22 |
14 |
$120.72 |
| 90688 |
|
17 |
17 |
$39.24 |
| 96161 |
|
17 |
15 |
$24.92 |
| 92558 |
|
94 |
94 |
$0.00 |
| 90723 |
|
29 |
28 |
$0.00 |
| 90686 |
|
92 |
92 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
163 |
162 |
$0.00 |
| 90680 |
|
26 |
25 |
$0.00 |
| 90648 |
|
42 |
40 |
$0.00 |
| 90461 |
|
71 |
69 |
$0.00 |
| 90670 |
|
64 |
60 |
$0.00 |