| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,005 |
3,742 |
$414K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
73 |
65 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
189 |
188 |
$11K |
| H0037 |
Community psychiatric supportive treatment program, per diem |
15 |
15 |
$6K |
| 3074F |
|
23 |
22 |
$0.03 |
| 3078F |
|
19 |
18 |
$0.02 |
| 1036F |
|
21 |
20 |
$0.01 |
| H0036 |
Community psychiatric supportive treatment, face-to-face, per 15 minutes |
97 |
41 |
$0.00 |