| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,206 |
5,135 |
$245K |
| 99402 |
|
1,185 |
1,185 |
$47K |
| 99401 |
|
1,171 |
1,171 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
304 |
304 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,500 |
3,479 |
$21K |
| 95957 |
|
98 |
96 |
$18K |
| 95816 |
|
89 |
87 |
$15K |
| 99354 |
|
59 |
59 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
74 |
$3K |
| 96116 |
|
36 |
36 |
$2K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
13 |
$130.13 |
| 96160 |
|
17 |
17 |
$42.22 |