| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,287 |
1,890 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,019 |
865 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
66 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
45 |
42 |
$4K |
| 97802 |
|
838 |
803 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
616 |
591 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90686 |
|
93 |
85 |
$706.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
97 |
$357.84 |
| 90461 |
|
56 |
56 |
$63.80 |
| S9451 |
Exercise classes, non-physician provider, per session |
521 |
499 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
32 |
$0.00 |
| 94760 |
|
55 |
40 |
$0.00 |
| 99173 |
|
199 |
191 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 99188 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |