| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
416 |
371 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
57 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
111 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
47 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
28 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
222 |
121 |
$218.00 |
| 97803 |
|
84 |
72 |
$36.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$23.16 |
| 94760 |
|
121 |
105 |
$0.00 |
| 92551 |
|
56 |
50 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
80 |
68 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 99173 |
|
83 |
73 |
$0.00 |
| 90670 |
|
15 |
14 |
$0.00 |
| 90461 |
|
38 |
30 |
$0.00 |