| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,803 |
1,699 |
$165K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
734 |
734 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
287 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,139 |
1,092 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,515 |
1,466 |
$27K |
| 97802 |
|
918 |
916 |
$24K |
| 99401 |
|
1,341 |
1,340 |
$11K |
| 99442 |
|
51 |
51 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
113 |
108 |
$3K |
| 99173 |
|
1,305 |
1,301 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
346 |
346 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
54 |
$486.73 |
| 99441 |
|
18 |
18 |
$338.53 |
| 90686 |
|
103 |
103 |
$55.09 |