| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,620 |
12,746 |
$1.32M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,682 |
3,610 |
$400K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,844 |
2,793 |
$340K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,833 |
2,744 |
$309K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,453 |
2,345 |
$294K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,759 |
2,495 |
$278K |
| D1206 |
Topical application of fluoride varnish |
4,395 |
4,319 |
$108K |
| 90686 |
|
2,909 |
2,883 |
$67K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,724 |
5,133 |
$49K |
| 90651 |
|
1,588 |
1,570 |
$37K |
| 90698 |
|
1,615 |
1,570 |
$36K |
| 90670 |
|
1,340 |
1,317 |
$31K |
| 90734 |
|
1,128 |
1,113 |
$26K |
| 99381 |
|
216 |
203 |
$23K |
| 90716 |
|
911 |
878 |
$21K |
| 90744 |
|
903 |
872 |
$20K |
| 90707 |
|
894 |
862 |
$20K |
| 90681 |
|
719 |
694 |
$16K |
| 90633 |
|
688 |
675 |
$16K |
| 0071A |
|
410 |
395 |
$15K |
| 90677 |
|
412 |
394 |
$14K |
| 0072A |
|
310 |
307 |
$12K |
| 90620 |
|
464 |
454 |
$12K |
| 90715 |
|
466 |
461 |
$11K |
| 99383 |
|
63 |
63 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
45 |
45 |
$6K |
| 0001A |
|
130 |
129 |
$5K |
| 0002A |
|
125 |
125 |
$5K |
| 90713 |
|
153 |
151 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 0004A |
|
51 |
51 |
$2K |
| 0073A |
|
32 |
32 |
$1K |
| 99051 |
|
94 |
92 |
$679.82 |
| 0124A |
|
14 |
14 |
$560.00 |
| 90700 |
|
20 |
18 |
$442.32 |
| 90688 |
|
12 |
12 |
$273.89 |
| 96127 |
|
34 |
34 |
$160.14 |
| 36415 |
Collection of venous blood by venipuncture |
66 |
64 |
$152.96 |
| 91307 |
|
404 |
338 |
$0.63 |
| 91300 |
|
172 |
147 |
$0.05 |