| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,247 |
1,083 |
$101K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
69 |
63 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
13 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
13 |
$506.48 |
| 99307 |
|
38 |
38 |
$432.40 |