| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
1,710 |
1,062 |
$30K |
| 96112 |
|
1,184 |
941 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
805 |
595 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
271 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,151 |
1,530 |
$3K |
| 99205 |
Prolong outpt/office vis |
48 |
45 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
126 |
$1K |
| 99490 |
Ccm add 20min |
368 |
288 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
131 |
91 |
$808.51 |
| 96127 |
|
306 |
235 |
$705.33 |
| 99439 |
|
75 |
64 |
$678.43 |