| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,095 |
8,315 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,947 |
7,351 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,653 |
8,292 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,004 |
926 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,265 |
2,152 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,694 |
2,642 |
$19K |
| 97803 |
|
8,352 |
8,024 |
$11K |
| 99215 |
Prolong outpt/office vis |
600 |
559 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,660 |
1,657 |
$8K |
| 92551 |
|
6,430 |
6,255 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,960 |
1,877 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
144 |
141 |
$7K |
| 99383 |
|
109 |
85 |
$5K |
| 92081 |
|
4,869 |
4,859 |
$4K |
| D1206 |
Topical application of fluoride varnish |
1,953 |
1,936 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
8,261 |
7,929 |
$2K |
| 90670 |
|
826 |
786 |
$2K |
| 90698 |
|
782 |
748 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
8,258 |
7,925 |
$2K |
| 99173 |
|
1,307 |
1,155 |
$2K |
| 81003 |
|
5,839 |
5,647 |
$2K |
| 90686 |
|
1,903 |
1,878 |
$1K |
| 90744 |
|
550 |
522 |
$1K |
| 85018 |
|
7,211 |
7,000 |
$1K |
| 99188 |
|
608 |
607 |
$1K |
| 90716 |
|
885 |
850 |
$1K |
| 99401 |
|
8,237 |
7,905 |
$911.05 |
| 90707 |
|
753 |
736 |
$846.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
523 |
482 |
$751.31 |
| 90680 |
|
200 |
178 |
$710.58 |
| 90633 |
|
458 |
445 |
$450.00 |
| 90651 |
|
579 |
578 |
$432.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
974 |
952 |
$422.50 |
| 90700 |
|
275 |
260 |
$297.00 |
| 83655 |
|
220 |
116 |
$260.42 |
| 90734 |
|
221 |
221 |
$162.00 |
| 90658 |
|
31 |
28 |
$159.14 |
| 99384 |
|
12 |
12 |
$148.12 |
| 97802 |
|
45 |
45 |
$145.88 |
| 90713 |
|
139 |
139 |
$135.00 |
| 90715 |
|
221 |
221 |
$135.00 |
| 90619 |
|
178 |
178 |
$135.00 |
| 90672 |
|
267 |
267 |
$117.00 |
| 90620 |
|
87 |
87 |
$117.00 |
| 90671 |
|
62 |
62 |
$108.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
192 |
114 |
$106.20 |
| 90677 |
|
56 |
56 |
$81.00 |
| 90656 |
|
33 |
33 |
$36.00 |
| 87807 |
|
13 |
13 |
$27.43 |
| 90685 |
|
58 |
58 |
$27.00 |
| 90648 |
|
37 |
37 |
$27.00 |
| 90655 |
|
25 |
25 |
$27.00 |
| 90696 |
|
13 |
13 |
$27.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
105 |
$13.20 |
| 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 |
16 |
16 |
$12.36 |
| 90473 |
|
44 |
44 |
$0.00 |
| 99423 |
|
25 |
25 |
$0.00 |
| 86580 |
|
16 |
16 |
$0.00 |
| 99422 |
|
18 |
18 |
$0.00 |