| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,075 |
1,413 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,217 |
964 |
$53K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
258 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
30 |
$39.72 |
| 97803 |
|
113 |
111 |
$0.00 |
| 99173 |
|
139 |
139 |
$0.00 |
| 81002 |
|
14 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
26 |
26 |
$0.00 |
| 99000 |
|
181 |
167 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |