| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,823 |
1,451 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,758 |
1,463 |
$84K |
| 97802 |
|
834 |
754 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
147 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
816 |
727 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
102 |
91 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
102 |
84 |
$10K |
| 92551 |
|
730 |
646 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
42 |
$5K |
| 96127 |
|
976 |
890 |
$4K |
| 90656 |
|
191 |
160 |
$4K |
| D1206 |
Topical application of fluoride varnish |
122 |
122 |
$3K |
| 99058 |
|
238 |
213 |
$2K |
| 99173 |
|
716 |
632 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
189 |
168 |
$390.97 |
| 81002 |
|
69 |
59 |
$84.79 |
| 99050 |
|
15 |
12 |
$62.42 |