| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,201 |
19,560 |
$1.27M |
| 90834 |
Psychotherapy, 45 minutes with patient |
14,970 |
7,067 |
$1.24M |
| H0035 |
Mental health partial hospitalization, treatment, less than 24 hours |
11,470 |
1,158 |
$962K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,529 |
4,208 |
$403K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
797 |
794 |
$299K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,495 |
2,464 |
$94K |
| 90832 |
Psychotherapy, 30 minutes with patient |
823 |
667 |
$51K |
| 90791 |
Psychiatric diagnostic evaluation |
319 |
318 |
$48K |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
5,729 |
739 |
$47K |
| 99215 |
Prolong outpt/office vis |
371 |
368 |
$40K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
309 |
266 |
$31K |
| A0425 |
Ground mileage, per statute mile |
5,185 |
675 |
$24K |
| 90887 |
|
261 |
215 |
$18K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,371 |
1,251 |
$15K |
| 99441 |
|
25 |
25 |
$7.03 |
| 99442 |
|
39 |
38 |
$0.00 |