| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
421 |
371 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
298 |
259 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
43 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
37 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
65 |
$191.49 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
63 |
$61.26 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
256 |
126 |
$60.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
16 |
15 |
$0.00 |
| 92558 |
|
18 |
18 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
54 |
50 |
$0.00 |
| 97803 |
|
51 |
48 |
$0.00 |
| 90461 |
|
29 |
25 |
$0.00 |
| 99051 |
|
18 |
15 |
$0.00 |
| 99173 |
|
54 |
50 |
$0.00 |