| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12,473 |
10,404 |
$113K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,846 |
4,415 |
$75K |
| 90633 |
|
2,436 |
2,114 |
$24K |
| 90670 |
|
2,108 |
1,775 |
$21K |
| 90647 |
|
1,889 |
1,580 |
$18K |
| 90723 |
|
1,833 |
1,584 |
$18K |
| 83655 |
|
1,526 |
1,121 |
$16K |
| 90686 |
|
661 |
528 |
$12K |
| 90688 |
|
1,210 |
1,103 |
$11K |
| 90680 |
|
1,326 |
1,139 |
$11K |
| D1206 |
Topical application of fluoride varnish |
469 |
392 |
$11K |
| 90734 |
|
675 |
583 |
$10K |
| 90651 |
|
518 |
448 |
$10K |
| 90715 |
|
534 |
451 |
$8K |
| 90677 |
|
364 |
317 |
$8K |
| 91320 |
|
41 |
20 |
$6K |
| 90620 |
|
223 |
191 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
394 |
335 |
$5K |
| 90710 |
|
419 |
325 |
$5K |
| 96127 |
|
199 |
194 |
$3K |
| 0002A |
|
62 |
61 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
164 |
145 |
$2K |
| 0012A |
|
61 |
61 |
$2K |
| 0011A |
|
68 |
67 |
$2K |
| 0001A |
|
67 |
66 |
$2K |
| 90681 |
|
124 |
117 |
$2K |
| 90656 |
|
101 |
82 |
$2K |
| 90696 |
|
137 |
116 |
$2K |
| 0064A |
|
38 |
38 |
$2K |
| 90662 |
|
16 |
15 |
$1K |
| 90716 |
|
64 |
54 |
$1K |
| 90707 |
|
52 |
42 |
$852.21 |
| 0031A |
|
18 |
18 |
$758.52 |
| 0004A |
|
17 |
17 |
$716.38 |
| 90700 |
|
48 |
41 |
$294.40 |
| 90687 |
|
46 |
46 |
$288.00 |
| 86580 |
|
51 |
49 |
$204.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$137.34 |
| 85018 |
|
53 |
42 |
$120.64 |
| 91300 |
|
77 |
53 |
$0.00 |
| 91301 |
|
104 |
103 |
$0.00 |
| 91303 |
|
24 |
24 |
$0.00 |