| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,642 |
9,611 |
$568K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,275 |
1,791 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,097 |
1,592 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,708 |
1,481 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
864 |
704 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,396 |
2,781 |
$56K |
| 96160 |
|
2,411 |
2,065 |
$34K |
| S9470 |
Nutritional counseling, dietitian visit |
1,674 |
1,454 |
$24K |
| 96127 |
|
1,381 |
1,144 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
167 |
162 |
$14K |
| 90686 |
|
1,116 |
1,023 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
792 |
742 |
$10K |
| 90670 |
|
527 |
442 |
$9K |
| 90648 |
|
482 |
403 |
$6K |
| 90734 |
|
371 |
303 |
$6K |
| 90651 |
|
153 |
144 |
$3K |
| 90716 |
|
200 |
168 |
$3K |
| 90723 |
|
187 |
156 |
$2K |
| D1206 |
Topical application of fluoride varnish |
82 |
64 |
$2K |
| 90707 |
|
135 |
118 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
103 |
$2K |
| 90633 |
|
99 |
81 |
$2K |
| 90715 |
|
89 |
84 |
$1K |
| 90680 |
|
102 |
85 |
$1K |
| 90649 |
|
97 |
81 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 90672 |
|
61 |
50 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$410.40 |
| 90700 |
|
17 |
15 |
$284.07 |
| 85018 |
|
19 |
14 |
$41.76 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,010 |
932 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
900 |
705 |
$0.00 |
| 90461 |
|
159 |
124 |
$0.00 |