| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
78 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
23 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
20 |
20 |
$939.85 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$336.14 |
| 97802 |
|
24 |
24 |
$262.71 |
| 97803 |
|
38 |
36 |
$97.23 |
| S9451 |
Exercise classes, non-physician provider, per session |
40 |
32 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
17 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$0.00 |
| 92558 |
|
14 |
12 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |