| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,779 |
2,964 |
$420K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,913 |
3,697 |
$376K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,531 |
3,420 |
$354K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,321 |
3,346 |
$301K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,261 |
1,043 |
$94K |
| 90670 |
|
3,095 |
2,343 |
$87K |
| 96127 |
|
4,984 |
3,970 |
$72K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,086 |
2,324 |
$62K |
| D1206 |
Topical application of fluoride varnish |
1,562 |
1,167 |
$40K |
| 90677 |
|
558 |
459 |
$33K |
| 90647 |
|
2,587 |
1,942 |
$27K |
| 90723 |
|
2,581 |
1,942 |
$27K |
| 83655 |
|
2,025 |
1,428 |
$25K |
| 90686 |
|
1,779 |
1,367 |
$23K |
| 90680 |
|
2,097 |
1,601 |
$22K |
| 90633 |
|
1,867 |
1,343 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,061 |
845 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
132 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
595 |
553 |
$9K |
| 90716 |
|
529 |
342 |
$8K |
| 90700 |
|
496 |
361 |
$6K |
| 99381 |
|
60 |
53 |
$6K |
| 92551 |
|
359 |
290 |
$5K |
| 85018 |
|
2,183 |
1,508 |
$5K |
| 36416 |
|
1,298 |
870 |
$5K |
| 90707 |
|
381 |
287 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
80 |
$4K |
| 90697 |
|
218 |
185 |
$4K |
| 90710 |
|
257 |
192 |
$3K |
| 90696 |
|
250 |
193 |
$3K |
| 90672 |
|
170 |
125 |
$3K |
| 90656 |
|
108 |
103 |
$2K |
| 90734 |
|
69 |
57 |
$1K |
| 90681 |
|
78 |
69 |
$1K |
| 90651 |
|
79 |
63 |
$1K |
| 90715 |
|
37 |
29 |
$576.66 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
27 |
26 |
$394.20 |
| 99173 |
|
53 |
40 |
$387.83 |
| 88720 |
|
57 |
40 |
$248.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
15 |
$204.10 |