| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,789 |
1,538 |
$183K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
667 |
567 |
$51K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
457 |
382 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 97802 |
|
425 |
407 |
$937.95 |
| 92567 |
|
275 |
263 |
$637.99 |
| 92587 |
|
301 |
287 |
$623.50 |
| S9451 |
Exercise classes, non-physician provider, per session |
316 |
298 |
$0.00 |
| A4206 |
Syringe with needle, sterile, 1 cc or less, each |
118 |
102 |
$0.00 |