| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
276 |
239 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
79 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
126 |
125 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$4K |
| 90461 |
|
78 |
78 |
$4K |
| 97802 |
|
94 |
94 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
60 |
58 |
$836.62 |
| 96127 |
|
35 |
35 |
$289.34 |
| 99051 |
|
14 |
14 |
$171.60 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
110 |
110 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |