| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
727 |
725 |
$7K |
| 96151 |
|
284 |
280 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
80 |
$5K |
| 90686 |
|
316 |
316 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
40 |
$2K |
| 92551 |
|
151 |
151 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
963 |
939 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
451 |
440 |
$1K |
| G9920 |
Screening performed and negative |
445 |
443 |
$812.00 |
| 96150 |
|
13 |
13 |
$260.30 |
| 92552 |
|
13 |
13 |
$256.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
339 |
318 |
$0.00 |
| 90461 |
|
28 |
28 |
$0.00 |
| 99173 |
|
53 |
53 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$0.00 |
| 97802 |
|
30 |
30 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
27 |
27 |
$0.00 |