| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,308 |
2,786 |
$248K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,842 |
2,434 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,762 |
1,466 |
$133K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,764 |
1,469 |
$120K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,413 |
2,940 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
659 |
557 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
500 |
455 |
$41K |
| 96127 |
|
1,105 |
910 |
$22K |
| 90670 |
|
1,210 |
1,022 |
$13K |
| 90686 |
|
1,278 |
1,102 |
$8K |
| 81002 |
|
2,008 |
1,621 |
$5K |
| 90680 |
|
472 |
397 |
$4K |
| 90723 |
|
392 |
342 |
$3K |
| 90648 |
|
399 |
328 |
$3K |
| 90633 |
|
384 |
324 |
$2K |
| 83655 |
|
224 |
201 |
$2K |
| 99215 |
Prolong outpt/office vis |
28 |
24 |
$2K |
| 96160 |
|
145 |
110 |
$2K |
| 85018 |
|
751 |
637 |
$2K |
| 90710 |
|
248 |
196 |
$2K |
| 90677 |
|
239 |
198 |
$1K |
| 90651 |
|
164 |
145 |
$1K |
| 90698 |
|
200 |
159 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 90734 |
|
154 |
136 |
$987.52 |
| 90656 |
|
152 |
132 |
$953.60 |
| D1206 |
Topical application of fluoride varnish |
30 |
24 |
$624.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$489.19 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$304.50 |
| 90715 |
|
35 |
32 |
$224.00 |
| 36415 |
Collection of venous blood by venipuncture |
259 |
235 |
$213.38 |
| 99173 |
|
27 |
25 |
$199.30 |
| 90647 |
|
28 |
28 |
$179.20 |
| 90685 |
|
22 |
22 |
$140.80 |
| 36416 |
|
25 |
24 |
$102.50 |
| 90620 |
|
12 |
12 |
$97.42 |
| 90619 |
|
15 |
15 |
$96.00 |
| 90696 |
|
13 |
13 |
$93.51 |
| 90681 |
|
14 |
13 |
$89.60 |
| 90381 |
|
13 |
12 |
$83.20 |