| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
85 |
85 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
192 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
193 |
191 |
$429.80 |
| 96151 |
|
15 |
15 |
$337.50 |
| 90686 |
|
27 |
27 |
$269.49 |
| 92551 |
|
14 |
14 |
$184.24 |
| G9920 |
Screening performed and negative |
29 |
29 |
$123.25 |
| 97802 |
|
18 |
18 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
18 |
18 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$0.00 |