| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,827 |
2,285 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
183 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$390.00 |
| 99348 |
|
28 |
12 |
$0.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
109 |
33 |
$0.00 |