| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,441 |
5,079 |
$86K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
6,607 |
5,703 |
$78K |
| D1206 |
Topical application of fluoride varnish |
2,141 |
1,883 |
$56K |
| 99381 |
|
882 |
868 |
$28K |
| H1000 |
Prenatal care, at-risk assessment |
1,884 |
1,864 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
815 |
749 |
$26K |
| 96127 |
|
1,058 |
1,035 |
$15K |
| 90670 |
|
1,043 |
965 |
$14K |
| 85018 |
|
4,641 |
4,607 |
$11K |
| 90648 |
|
1,144 |
1,018 |
$10K |
| 90686 |
|
978 |
888 |
$9K |
| 90734 |
|
645 |
552 |
$9K |
| 90716 |
|
407 |
387 |
$8K |
| 90633 |
|
767 |
707 |
$7K |
| 90715 |
|
554 |
471 |
$7K |
| 36416 |
|
1,740 |
1,732 |
$7K |
| 90723 |
|
741 |
669 |
$7K |
| 90651 |
|
103 |
73 |
$4K |
| 90619 |
|
252 |
218 |
$4K |
| 90707 |
|
336 |
325 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
256 |
253 |
$4K |
| 90688 |
|
138 |
125 |
$2K |
| 90710 |
|
141 |
108 |
$2K |
| 90700 |
|
141 |
128 |
$2K |
| 90696 |
|
100 |
90 |
$974.49 |
| 92551 |
|
66 |
61 |
$950.60 |
| 90656 |
|
47 |
46 |
$892.04 |
| 90681 |
|
49 |
41 |
$846.60 |
| 90677 |
|
44 |
39 |
$735.24 |
| 90671 |
|
28 |
26 |
$470.20 |
| 86580 |
|
43 |
39 |
$172.00 |
| 90713 |
|
13 |
13 |
$83.20 |