| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,044 |
4,268 |
$396K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,124 |
1,107 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,013 |
988 |
$101K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,902 |
1,856 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
470 |
460 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
283 |
277 |
$25K |
| 92587 |
|
716 |
703 |
$14K |
| D1206 |
Topical application of fluoride varnish |
928 |
645 |
$14K |
| 90686 |
|
425 |
409 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
3,410 |
3,333 |
$8K |
| 90648 |
|
379 |
366 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
53 |
53 |
$6K |
| 90670 |
|
245 |
239 |
$5K |
| 90651 |
|
180 |
172 |
$4K |
| 90710 |
|
166 |
164 |
$4K |
| 99173 |
|
1,443 |
1,420 |
$4K |
| 90700 |
|
125 |
125 |
$3K |
| 90619 |
|
98 |
91 |
$2K |
| 90715 |
|
81 |
77 |
$2K |
| 90723 |
|
79 |
75 |
$2K |
| 90633 |
|
72 |
71 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
13 |
$2K |
| 90685 |
|
55 |
55 |
$1K |
| 90716 |
|
47 |
46 |
$1K |
| 90696 |
|
47 |
45 |
$977.76 |
| 90677 |
|
34 |
28 |
$605.28 |
| 90707 |
|
17 |
17 |
$395.76 |
| 87430 |
|
36 |
32 |
$260.18 |
| 99000 |
|
2,457 |
2,362 |
$9.00 |
| 92558 |
|
38 |
38 |
$0.00 |