| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,153 |
1,065 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
182 |
141 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
147 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
132 |
119 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
330 |
$7K |
| 87428 |
|
106 |
100 |
$6K |
| 96127 |
|
271 |
237 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
44 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
25 |
$2K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
28 |
23 |
$1K |
| 90686 |
|
87 |
76 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
78 |
65 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
66 |
57 |
$928.64 |
| D1206 |
Topical application of fluoride varnish |
24 |
12 |
$634.40 |
| 90656 |
|
34 |
32 |
$542.75 |
| 81002 |
|
59 |
50 |
$145.91 |
| 36416 |
|
20 |
15 |
$82.00 |
| 85018 |
|
33 |
28 |
$70.30 |