| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,986 |
4,509 |
$383K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,998 |
3,655 |
$206K |
| 90836 |
|
641 |
592 |
$58K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
198 |
182 |
$31K |
| J9217 |
Leuprolide acetate (for depot suspension), 7.5 mg |
28 |
27 |
$25K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
300 |
247 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
380 |
353 |
$20K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
15 |
13 |
$8K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$2K |
| 84403 |
|
12 |
12 |
$745.53 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$702.19 |
| 84402 |
|
12 |
12 |
$660.43 |