| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,604 |
2,203 |
$209K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
509 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
481 |
464 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
339 |
321 |
$38K |
| 90686 |
|
1,067 |
1,024 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
217 |
$22K |
| D1206 |
Topical application of fluoride varnish |
806 |
792 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
367 |
350 |
$8K |
| 82465 |
|
1,313 |
1,258 |
$5K |
| 82947 |
|
1,299 |
1,242 |
$5K |
| 90698 |
|
170 |
168 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
284 |
$4K |
| 90670 |
|
146 |
145 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
299 |
120 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
373 |
364 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
43 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
52 |
$2K |
| 99173 |
|
836 |
801 |
$2K |
| 85018 |
|
932 |
882 |
$2K |
| 85014 |
|
926 |
878 |
$2K |
| 81003 |
|
687 |
647 |
$1K |
| 81000 |
|
452 |
441 |
$1K |
| 90734 |
|
52 |
50 |
$1K |
| 0072A |
|
32 |
31 |
$1K |
| 90715 |
|
38 |
36 |
$848.86 |
| 0071A |
|
17 |
17 |
$680.00 |
| 87081 |
|
101 |
97 |
$638.64 |
| 36416 |
|
1,679 |
893 |
$580.00 |
| 87428 |
|
13 |
13 |
$402.22 |
| 83655 |
|
26 |
25 |
$297.25 |
| 90681 |
|
12 |
12 |
$256.08 |
| 99051 |
|
25 |
25 |
$240.00 |
| 91300 |
|
120 |
93 |
$0.00 |