| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,699 |
5,807 |
$628K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
3,089 |
2,667 |
$161K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,264 |
2,016 |
$137K |
| 90865 |
|
171 |
116 |
$30K |
| 90837 |
Psychotherapy, 53 minutes with patient |
305 |
147 |
$26K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
168 |
115 |
$12K |
| 99215 |
Prolong outpt/office vis |
36 |
29 |
$5K |
| 90834 |
Psychotherapy, 45 minutes with patient |
72 |
54 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
15 |
13 |
$1K |
| 96127 |
|
93 |
72 |
$32.84 |
| J3490 |
Unclassified drugs |
171 |
116 |
$20.00 |