| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,094 |
2,950 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,160 |
1,127 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,027 |
1,005 |
$42K |
| S9470 |
Nutritional counseling, dietitian visit |
4,135 |
4,022 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,609 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,166 |
1,117 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
479 |
463 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,070 |
1,954 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
672 |
655 |
$8K |
| 99173 |
|
3,126 |
3,059 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
180 |
177 |
$5K |
| 90688 |
|
399 |
393 |
$4K |
| 90651 |
|
65 |
63 |
$3K |
| S9451 |
Exercise classes, non-physician provider, per session |
2,704 |
2,643 |
$3K |
| 90461 |
|
293 |
284 |
$3K |
| 90621 |
|
26 |
25 |
$837.12 |
| 90686 |
|
459 |
438 |
$832.78 |
| 90734 |
|
15 |
13 |
$650.00 |
| 90620 |
|
31 |
27 |
$643.00 |
| 97802 |
|
382 |
372 |
$482.91 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$450.90 |
| 90687 |
|
41 |
39 |
$323.96 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
50 |
50 |
$158.60 |
| 90700 |
|
29 |
25 |
$105.48 |
| 96127 |
|
193 |
180 |
$89.78 |
| 96160 |
|
88 |
79 |
$0.00 |
| 90672 |
|
14 |
14 |
$0.00 |