| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,839 |
1,585 |
$144K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,619 |
2,201 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,015 |
719 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
783 |
601 |
$59K |
| 96127 |
|
2,951 |
2,333 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
423 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,278 |
1,801 |
$44K |
| 92587 |
|
2,314 |
1,735 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
483 |
336 |
$33K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
957 |
836 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
779 |
584 |
$11K |
| 96160 |
|
1,279 |
839 |
$11K |
| 90686 |
|
768 |
676 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
140 |
$3K |
| D1206 |
Topical application of fluoride varnish |
114 |
113 |
$3K |
| 81002 |
|
931 |
774 |
$2K |
| 90648 |
|
295 |
199 |
$2K |
| 90670 |
|
300 |
230 |
$2K |
| 90734 |
|
150 |
107 |
$2K |
| 99383 |
|
15 |
13 |
$1K |
| 99173 |
|
105 |
100 |
$763.10 |
| 90723 |
|
120 |
81 |
$761.60 |
| 90700 |
|
61 |
45 |
$545.05 |
| 90651 |
|
31 |
30 |
$518.01 |
| 90716 |
|
48 |
39 |
$441.23 |
| 90688 |
|
66 |
55 |
$440.24 |
| 90677 |
|
17 |
12 |
$284.07 |
| 90707 |
|
35 |
26 |
$224.00 |
| 90713 |
|
17 |
12 |
$108.80 |
| 90620 |
|
16 |
12 |
$102.40 |