| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,325 |
2,467 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,951 |
2,178 |
$230K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,226 |
2,493 |
$224K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,157 |
863 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,215 |
987 |
$92K |
| 96127 |
|
3,931 |
3,028 |
$57K |
| 90670 |
|
2,227 |
1,697 |
$45K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
430 |
347 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,838 |
1,389 |
$34K |
| 90677 |
|
376 |
302 |
$20K |
| 90686 |
|
1,516 |
1,120 |
$19K |
| 90723 |
|
1,787 |
1,337 |
$17K |
| 90647 |
|
1,757 |
1,291 |
$17K |
| 90680 |
|
1,312 |
989 |
$13K |
| 90633 |
|
1,117 |
811 |
$13K |
| 83655 |
|
566 |
421 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
430 |
386 |
$6K |
| 90651 |
|
324 |
265 |
$6K |
| D1206 |
Topical application of fluoride varnish |
165 |
112 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
124 |
$4K |
| 90697 |
|
211 |
179 |
$4K |
| 90656 |
|
139 |
130 |
$2K |
| 92551 |
|
140 |
107 |
$2K |
| 36416 |
|
505 |
360 |
$2K |
| 90716 |
|
123 |
83 |
$2K |
| 85018 |
|
720 |
561 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
24 |
$1K |
| 99383 |
|
14 |
12 |
$1K |
| 90707 |
|
75 |
62 |
$1K |
| 90710 |
|
78 |
54 |
$1K |
| 90734 |
|
95 |
71 |
$1K |
| 90681 |
|
61 |
47 |
$1K |
| 90696 |
|
59 |
39 |
$770.89 |
| 90715 |
|
50 |
37 |
$643.15 |
| 90700 |
|
27 |
26 |
$451.71 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
30 |
28 |
$438.00 |
| 91318 |
|
23 |
17 |
$384.33 |
| 96160 |
|
20 |
18 |
$292.00 |
| 88720 |
|
21 |
12 |
$90.82 |