| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,073 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,119 |
908 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
349 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
489 |
418 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
135 |
$5K |
| 90670 |
|
421 |
365 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
42 |
$4K |
| 90686 |
|
392 |
337 |
$3K |
| 90648 |
|
354 |
295 |
$2K |
| 92552 |
|
113 |
100 |
$2K |
| D1206 |
Topical application of fluoride varnish |
60 |
28 |
$1K |
| 90723 |
|
157 |
128 |
$1K |
| 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 |
68 |
61 |
$817.42 |
| 99173 |
|
103 |
95 |
$763.50 |
| 90633 |
|
111 |
67 |
$733.40 |
| 90680 |
|
59 |
43 |
$365.84 |
| 83655 |
|
22 |
14 |
$201.62 |
| 85018 |
|
24 |
15 |
$39.44 |