| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
299 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
199 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
104 |
59 |
$1K |
| 99305 |
|
37 |
27 |
$783.43 |
| 90656 |
|
29 |
29 |
$495.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
14 |
$289.43 |
| 99307 |
|
25 |
15 |
$245.68 |