| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
942 |
928 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
118 |
118 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$5K |
| 99177 |
|
415 |
413 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 92551 |
|
437 |
433 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 90688 |
|
162 |
116 |
$979.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32 |
32 |
$771.45 |
| 90686 |
|
64 |
64 |
$606.12 |
| 90670 |
|
14 |
14 |
$154.00 |
| 90698 |
|
13 |
13 |
$143.00 |
| 90633 |
|
12 |
12 |
$132.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$106.96 |
| S9451 |
Exercise classes, non-physician provider, per session |
502 |
496 |
$0.13 |
| 99080 |
|
173 |
173 |
$0.12 |
| 3008F |
|
795 |
781 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
15 |
$0.00 |
| 99499 |
|
55 |
54 |
$0.00 |