| Code | Description | Total Paid |
| 99404 |
|
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$57K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
$19K |
| 80305 |
|
$19K |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
$13K |
| D1110 |
Prophylaxis - adult |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
$11K |
| D1206 |
Topical application of fluoride varnish |
$11K |