| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,986 |
6,956 |
$2.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,476 |
4,297 |
$891K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
958 |
958 |
$201K |
| 99205 |
Prolong outpt/office vis |
106 |
106 |
$18K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
75 |
75 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
25 |
25 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$126.10 |
| 81025 |
|
13 |
13 |
$87.58 |
| 81003 |
|
13 |
13 |
$22.00 |