| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,354 |
2,948 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,598 |
1,437 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
435 |
375 |
$14K |
| 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 |
546 |
430 |
$7K |
| 0012A |
|
168 |
158 |
$6K |
| D1206 |
Topical application of fluoride varnish |
206 |
157 |
$5K |
| 0011A |
|
206 |
189 |
$5K |
| 92551 |
|
297 |
295 |
$4K |
| 99173 |
|
188 |
181 |
$1K |
| 90686 |
|
132 |
101 |
$895.19 |
| 90619 |
|
40 |
40 |
$668.40 |
| 0064A |
|
15 |
15 |
$632.10 |
| 36416 |
|
121 |
87 |
$492.00 |
| 90734 |
|
66 |
63 |
$409.60 |
| 90715 |
|
21 |
21 |
$350.91 |
| 90685 |
|
54 |
38 |
$307.20 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
12 |
$233.60 |
| 90670 |
|
32 |
31 |
$204.80 |
| 90651 |
|
12 |
12 |
$200.52 |
| 90647 |
|
18 |
15 |
$115.20 |
| 90723 |
|
14 |
13 |
$89.60 |
| 90633 |
|
14 |
12 |
$84.48 |