| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,698 |
1,683 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,461 |
1,444 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,844 |
1,618 |
$69K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,842 |
3,769 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
853 |
847 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,305 |
1,280 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,180 |
1,092 |
$17K |
| 3008F |
|
3,065 |
3,021 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
942 |
933 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
185 |
$7K |
| 90686 |
|
721 |
712 |
$6K |
| 90461 |
|
344 |
340 |
$3K |
| 90619 |
|
44 |
44 |
$2K |
| 99173 |
|
841 |
807 |
$2K |
| 90651 |
|
14 |
13 |
$1K |
| S9451 |
Exercise classes, non-physician provider, per session |
212 |
210 |
$847.00 |
| 99383 |
|
14 |
14 |
$783.91 |
| S9452 |
Nutrition classes, non-physician provider, per session |
191 |
191 |
$721.00 |
| 90715 |
|
42 |
42 |
$587.08 |
| 90621 |
|
13 |
12 |
$414.37 |
| 36416 |
|
39 |
39 |
$255.56 |
| 90734 |
|
31 |
29 |
$140.00 |
| 90670 |
|
27 |
24 |
$20.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90698 |
|
14 |
13 |
$0.00 |
| 97802 |
|
17 |
17 |
$0.00 |