| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
259 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
38 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
29 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
34 |
34 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
219 |
119 |
$958.63 |
| 81002 |
|
107 |
103 |
$105.69 |
| 85018 |
|
114 |
111 |
$68.40 |
| 90461 |
|
37 |
29 |
$64.18 |
| 97803 |
|
47 |
43 |
$15.87 |
| S9451 |
Exercise classes, non-physician provider, per session |
41 |
39 |
$0.00 |
| 90698 |
|
17 |
15 |
$0.00 |
| 36416 |
|
84 |
81 |
$0.00 |
| 92551 |
|
45 |
41 |
$0.00 |
| 90686 |
|
36 |
33 |
$0.00 |
| 90680 |
|
18 |
15 |
$0.00 |
| 90670 |
|
47 |
40 |
$0.00 |
| 99173 |
|
34 |
31 |
$0.00 |
| 90685 |
|
19 |
16 |
$0.00 |