| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,151 |
1,014 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,269 |
1,148 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,358 |
1,287 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
444 |
423 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,563 |
1,395 |
$30K |
| 90677 |
|
471 |
402 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
346 |
324 |
$26K |
| 90723 |
|
830 |
716 |
$14K |
| 90647 |
|
809 |
692 |
$14K |
| 96127 |
|
802 |
757 |
$13K |
| 90686 |
|
782 |
712 |
$13K |
| 90670 |
|
565 |
525 |
$12K |
| 90680 |
|
701 |
609 |
$12K |
| 90633 |
|
503 |
440 |
$8K |
| D1206 |
Topical application of fluoride varnish |
318 |
242 |
$8K |
| 96160 |
|
566 |
511 |
$8K |
| 83655 |
|
632 |
549 |
$8K |
| 90656 |
|
237 |
236 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
43 |
$4K |
| 90700 |
|
156 |
124 |
$3K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
16 |
16 |
$2K |
| 85018 |
|
648 |
572 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
122 |
$1K |
| 90716 |
|
75 |
73 |
$1K |
| 90707 |
|
65 |
64 |
$1K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
40 |
38 |
$1K |
| 90651 |
|
37 |
36 |
$618.27 |
| 90696 |
|
24 |
24 |
$401.04 |
| 90710 |
|
24 |
24 |
$401.04 |
| 90734 |
|
16 |
16 |
$267.36 |
| 90381 |
|
13 |
13 |
$217.23 |
| 90715 |
|
12 |
12 |
$200.52 |