| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
2,686 |
2,682 |
$109K |
| D1206 |
Topical application of fluoride varnish |
1,829 |
1,825 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,009 |
8,123 |
$39K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,816 |
1,815 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
296 |
$28K |
| 3008F |
|
1,189 |
1,185 |
$26K |
| 99429 |
|
990 |
987 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,458 |
1,457 |
$19K |
| 90688 |
|
1,467 |
1,466 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,455 |
1,455 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,598 |
1,597 |
$13K |
| 90651 |
|
1,080 |
1,079 |
$12K |
| 90686 |
|
1,032 |
1,030 |
$11K |
| 90670 |
|
937 |
932 |
$10K |
| 3016F |
|
361 |
361 |
$9K |
| 0001A |
|
223 |
223 |
$9K |
| 0002A |
|
174 |
174 |
$7K |
| 90633 |
|
596 |
595 |
$7K |
| 90734 |
|
586 |
586 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
447 |
443 |
$6K |
| 90620 |
|
464 |
464 |
$5K |
| 90698 |
|
420 |
417 |
$5K |
| 90744 |
|
313 |
308 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,981 |
1,960 |
$3K |
| 90656 |
|
267 |
267 |
$3K |
| 90619 |
|
244 |
244 |
$3K |
| 90680 |
|
224 |
224 |
$2K |
| 90715 |
|
222 |
222 |
$2K |
| 90685 |
|
209 |
209 |
$2K |
| 90677 |
|
140 |
137 |
$2K |
| 90716 |
|
120 |
119 |
$1K |
| 92552 |
|
2,668 |
2,662 |
$1K |
| 90621 |
|
114 |
114 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
14 |
$1K |
| 0051A |
|
25 |
25 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 0072A |
|
15 |
15 |
$600.00 |
| 90710 |
|
49 |
49 |
$542.43 |
| 99383 |
|
34 |
34 |
$450.00 |
| 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 |
29 |
28 |
$445.15 |
| 90700 |
|
26 |
26 |
$287.82 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, 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 |
14 |
13 |
$187.18 |
| 90707 |
|
15 |
15 |
$166.05 |