| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
54 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 90461 |
|
12 |
12 |
$290.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$189.15 |
| S9452 |
Nutrition classes, non-physician provider, per session |
15 |
15 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
15 |
15 |
$0.00 |