| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
325 |
295 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
84 |
29 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
137 |
65 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$437.82 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
26 |
$416.27 |