| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
101 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
53 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
29 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
13 |
$251.52 |
| 97802 |
|
25 |
25 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
38 |
36 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
49 |
49 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
21 |
21 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |
| 97803 |
|
65 |
65 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |