| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,807 |
1,596 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,126 |
1,036 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
64 |
$6K |
| 99401 |
|
499 |
449 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
648 |
610 |
$3K |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
396 |
382 |
$0.00 |
| 97802 |
|
473 |
457 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
471 |
455 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
99 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
91 |
90 |
$0.00 |