| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,048 |
10,728 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
899 |
892 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
417 |
415 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,395 |
1,382 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,035 |
1,030 |
$10K |
| G9920 |
Screening performed and negative |
1,220 |
1,210 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
254 |
$5K |
| 92551 |
|
3,477 |
3,443 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
916 |
905 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,514 |
1,501 |
$4K |
| 0001A |
|
83 |
83 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
922 |
893 |
$2K |
| D1206 |
Topical application of fluoride varnish |
931 |
913 |
$2K |
| 0002A |
|
40 |
40 |
$2K |
| 90700 |
|
991 |
979 |
$1K |
| 90658 |
|
1,263 |
1,263 |
$1K |
| 90713 |
|
680 |
677 |
$990.00 |
| 90648 |
|
501 |
499 |
$778.50 |
| 90670 |
|
482 |
480 |
$675.00 |
| 90649 |
|
337 |
337 |
$456.75 |
| 90716 |
|
269 |
269 |
$421.91 |
| 90707 |
|
250 |
250 |
$369.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$205.00 |
| 90633 |
|
181 |
181 |
$198.00 |
| 94664 |
|
314 |
312 |
$148.64 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
55 |
51 |
$138.93 |
| 90734 |
|
125 |
125 |
$135.00 |
| 90651 |
|
110 |
110 |
$126.00 |
| 90744 |
|
73 |
73 |
$105.75 |
| 90657 |
|
97 |
97 |
$99.00 |
| 94010 |
|
60 |
60 |
$58.44 |
| 90620 |
|
24 |
24 |
$54.00 |
| 90715 |
|
51 |
51 |
$54.00 |
| 90680 |
|
26 |
26 |
$33.75 |
| 86580 |
|
2,210 |
2,180 |
$13.32 |
| 85018 |
|
4,533 |
4,484 |
$0.00 |
| 99177 |
|
1,062 |
1,058 |
$0.00 |
| 81002 |
|
1,668 |
1,635 |
$0.00 |
| 99173 |
|
375 |
374 |
$0.00 |
| 83655 |
|
211 |
202 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
132 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
226 |
155 |
$0.00 |