| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96151 |
|
458 |
458 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
121 |
121 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
88 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
971 |
923 |
$5K |
| 96156 |
|
551 |
549 |
$5K |
| 90686 |
|
348 |
348 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
1,067 |
$3K |
| 92551 |
|
203 |
203 |
$3K |
| G9920 |
Screening performed and negative |
443 |
443 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$626.99 |
| 90651 |
|
14 |
14 |
$126.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
47 |
$42.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
245 |
241 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
93 |
93 |
$0.00 |
| 87428 |
|
13 |
13 |
$0.00 |
| 97802 |
|
94 |
94 |
$0.00 |
| 99173 |
|
133 |
133 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
27 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
343 |
342 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$0.00 |