| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,229 |
956 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
32 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
48 |
45 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
80 |
52 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
245 |
83 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
24 |
$0.00 |
| 92567 |
|
15 |
13 |
$0.00 |
| 97803 |
|
306 |
137 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
58 |
$0.00 |