| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
515 |
450 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
261 |
239 |
$16K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
289 |
281 |
$9K |
| 97802 |
|
182 |
182 |
$5K |
| 92551 |
|
135 |
135 |
$2K |
| 99173 |
|
160 |
160 |
$607.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$326.56 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$130.32 |
| 3078F |
|
50 |
50 |
$0.00 |
| 3008F |
|
62 |
62 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
62 |
62 |
$0.00 |
| 3074F |
|
38 |
38 |
$0.00 |
| 99000 |
|
21 |
19 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
12 |
12 |
$0.00 |