| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,441 |
1,924 |
$192K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,045 |
1,437 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,344 |
936 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,796 |
1,447 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
863 |
676 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
283 |
$32K |
| D1206 |
Topical application of fluoride varnish |
514 |
385 |
$14K |
| 90686 |
|
1,535 |
1,167 |
$14K |
| 90648 |
|
1,276 |
891 |
$13K |
| 87428 |
|
157 |
151 |
$11K |
| 90670 |
|
1,005 |
711 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
533 |
364 |
$10K |
| 90723 |
|
637 |
471 |
$7K |
| 90633 |
|
565 |
361 |
$5K |
| 83655 |
|
396 |
273 |
$5K |
| 96127 |
|
304 |
241 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
187 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
76 |
$4K |
| 90677 |
|
151 |
128 |
$4K |
| 90651 |
|
168 |
117 |
$4K |
| 90656 |
|
126 |
124 |
$2K |
| 85018 |
|
735 |
496 |
$2K |
| 36416 |
|
326 |
170 |
$1K |
| 90734 |
|
86 |
65 |
$1K |
| 90696 |
|
55 |
38 |
$775.85 |
| 90710 |
|
42 |
27 |
$711.58 |
| 0071A |
|
14 |
14 |
$671.26 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
12 |
$512.27 |
| 90619 |
|
28 |
26 |
$459.41 |
| 90681 |
|
48 |
38 |
$333.88 |
| 80061 |
Lipid panel |
35 |
30 |
$315.15 |
| 90688 |
|
24 |
16 |
$301.44 |
| 90700 |
|
44 |
25 |
$286.96 |
| 82947 |
|
37 |
32 |
$138.44 |
| 90716 |
|
12 |
12 |
$80.83 |
| 90707 |
|
12 |
12 |
$80.83 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
15 |
15 |
$52.50 |
| 99188 |
|
25 |
13 |
$0.00 |