| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,246 |
1,083 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
707 |
582 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
467 |
381 |
$34K |
| 90686 |
|
1,082 |
925 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
653 |
570 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
101 |
$9K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
564 |
529 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
89 |
$7K |
| 99173 |
|
835 |
701 |
$6K |
| 92551 |
|
403 |
325 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
40 |
$4K |
| D1206 |
Topical application of fluoride varnish |
129 |
124 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
82 |
$2K |
| 96127 |
|
145 |
134 |
$2K |
| 0071A |
|
53 |
45 |
$2K |
| 87430 |
|
115 |
109 |
$2K |
| 0072A |
|
35 |
33 |
$1K |
| 90672 |
|
82 |
77 |
$1K |
| 90700 |
|
87 |
67 |
$909.87 |
| 91319 |
|
17 |
17 |
$697.60 |
| 99402 |
|
17 |
15 |
$510.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$375.60 |
| 90713 |
|
15 |
13 |
$250.65 |
| 90648 |
|
14 |
12 |
$233.94 |
| 90619 |
|
13 |
13 |
$217.23 |
| 90670 |
|
14 |
12 |
$200.52 |
| 90685 |
|
12 |
12 |
$120.42 |
| 91307 |
|
35 |
28 |
$0.03 |
| 1036F |
|
13 |
13 |
$0.00 |
| 1003F |
|
94 |
86 |
$0.00 |