| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
833 |
770 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
555 |
530 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$4K |
| 90461 |
|
108 |
104 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$997.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
12 |
$345.32 |
| 90686 |
|
130 |
120 |
$65.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
133 |
131 |
$1.33 |