| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,378 |
1,220 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,040 |
604 |
$15K |
| 99051 |
|
254 |
225 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
54 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
45 |
$3K |
| 81002 |
|
446 |
419 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$716.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$280.49 |
| 90658 |
|
151 |
144 |
$43.64 |
| S9452 |
Nutrition classes, non-physician provider, per session |
223 |
215 |
$1.96 |
| S9451 |
Exercise classes, non-physician provider, per session |
229 |
217 |
$0.00 |
| 3008F |
|
730 |
631 |
$0.00 |