| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,965 |
6,923 |
$389K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,275 |
3,291 |
$326K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,504 |
3,056 |
$292K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,583 |
3,019 |
$271K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,483 |
2,789 |
$238K |
| 96160 |
|
13,860 |
11,935 |
$200K |
| 92551 |
|
9,562 |
8,339 |
$144K |
| 96127 |
|
9,582 |
8,151 |
$139K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,471 |
6,142 |
$120K |
| D1206 |
Topical application of fluoride varnish |
3,458 |
2,686 |
$88K |
| 99173 |
|
9,284 |
8,128 |
$69K |
| 90670 |
|
2,588 |
2,086 |
$45K |
| 90648 |
|
2,956 |
2,318 |
$31K |
| 83655 |
|
2,705 |
2,082 |
$31K |
| 90723 |
|
2,170 |
1,747 |
$27K |
| 90680 |
|
1,812 |
1,456 |
$23K |
| 99381 |
|
252 |
248 |
$23K |
| 90651 |
|
1,122 |
963 |
$21K |
| 90686 |
|
2,024 |
1,795 |
$19K |
| 90677 |
|
348 |
244 |
$17K |
| 90734 |
|
1,127 |
971 |
$17K |
| 90633 |
|
1,431 |
1,098 |
$16K |
| 90620 |
|
786 |
685 |
$13K |
| 36416 |
|
2,876 |
2,225 |
$11K |
| 97802 |
|
2,915 |
2,472 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
674 |
637 |
$8K |
| 85018 |
|
3,465 |
2,724 |
$8K |
| 90674 |
|
352 |
348 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
54 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
55 |
$5K |
| 90661 |
|
254 |
249 |
$4K |
| 90710 |
|
269 |
203 |
$3K |
| 90715 |
|
236 |
196 |
$2K |
| 82962 |
|
1,069 |
856 |
$2K |
| 90700 |
|
128 |
92 |
$2K |
| 90649 |
|
111 |
93 |
$1K |
| 90696 |
|
137 |
100 |
$1K |
| 90716 |
|
66 |
50 |
$1K |
| 90672 |
|
91 |
82 |
$759.88 |
| 82465 |
|
188 |
146 |
$752.82 |
| 90621 |
|
31 |
26 |
$518.01 |
| 90685 |
|
85 |
74 |
$493.07 |
| 90707 |
|
36 |
26 |
$436.60 |
| 82947 |
|
30 |
29 |
$110.78 |
| 86580 |
|
16 |
16 |
$64.00 |
| D0120 |
Periodic oral evaluation - established patient |
29 |
18 |
$56.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$24.60 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,810 |
2,410 |
$15.05 |
| 96161 |
|
253 |
225 |
$0.00 |