| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
127 |
123 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
40 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
85 |
85 |
$3K |
| 90461 |
|
50 |
50 |
$2K |
| 97802 |
|
41 |
41 |
$1K |
| 99188 |
|
14 |
14 |
$249.48 |
| 99051 |
|
13 |
13 |
$171.60 |
| 90633 |
|
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
52 |
52 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |