| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,395 |
1,250 |
$284K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
212 |
144 |
$25K |
| 99223 |
Prolong inpt eval add15 m |
168 |
164 |
$20K |
| 99222 |
Initial hospital care, per day, moderate complexity |
145 |
133 |
$12K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
29 |
23 |
$5K |
| 99221 |
|
77 |
77 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
77 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
17 |
16 |
$2K |