| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
229 |
191 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
35 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
48 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
33 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
101 |
82 |
$422.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
15 |
$20.70 |
| 97803 |
|
77 |
76 |
$0.00 |
| 99173 |
|
38 |
38 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
65 |
64 |
$0.00 |
| 92551 |
|
12 |
12 |
$0.00 |