| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,082 |
1,621 |
$144K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,768 |
1,164 |
$131K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,697 |
2,070 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,501 |
1,075 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
959 |
617 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,844 |
1,945 |
$54K |
| 96127 |
|
2,189 |
1,400 |
$34K |
| D1206 |
Topical application of fluoride varnish |
1,167 |
768 |
$31K |
| 92558 |
|
2,448 |
1,559 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
383 |
235 |
$28K |
| 99173 |
|
2,089 |
1,380 |
$16K |
| 90686 |
|
1,524 |
1,057 |
$11K |
| 90670 |
|
1,131 |
820 |
$8K |
| 83655 |
|
479 |
343 |
$6K |
| 36416 |
|
1,286 |
829 |
$5K |
| 90698 |
|
685 |
495 |
$4K |
| 90680 |
|
609 |
437 |
$4K |
| 97803 |
|
490 |
255 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
84 |
$3K |
| 90633 |
|
368 |
264 |
$3K |
| 85018 |
|
1,040 |
645 |
$2K |
| 96160 |
|
163 |
139 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
80 |
74 |
$2K |
| 90716 |
|
210 |
133 |
$2K |
| 90707 |
|
159 |
100 |
$1K |
| 90744 |
|
197 |
137 |
$1K |
| 81003 |
|
501 |
370 |
$1K |
| 80061 |
Lipid panel |
143 |
87 |
$1K |
| 81002 |
|
381 |
213 |
$953.14 |
| 90651 |
|
62 |
39 |
$864.48 |
| 82947 |
|
122 |
78 |
$455.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$419.19 |
| 90734 |
|
61 |
25 |
$409.47 |
| 99051 |
|
133 |
95 |
$260.00 |
| 90648 |
|
14 |
12 |
$92.16 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
513 |
248 |
$0.01 |
| S9451 |
Exercise classes, non-physician provider, per session |
510 |
248 |
$0.00 |
| 99000 |
|
117 |
88 |
$0.00 |