| Code | Description | Claims | Beneficiaries | Total Paid |
| 99233 |
Prolong inpt eval add15 m |
1,616 |
811 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
851 |
851 |
$46K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
577 |
573 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
1,034 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,381 |
1,354 |
$30K |
| 99223 |
Prolong inpt eval add15 m |
456 |
437 |
$26K |
| 51798 |
|
496 |
473 |
$19K |
| 90836 |
|
352 |
316 |
$18K |
| 99205 |
Prolong outpt/office vis |
219 |
218 |
$17K |
| 99215 |
Prolong outpt/office vis |
358 |
344 |
$15K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
457 |
302 |
$12K |
| 99254 |
|
152 |
151 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
402 |
389 |
$6K |
| 99255 |
|
68 |
67 |
$5K |
| 99222 |
Initial hospital care, per day, moderate complexity |
94 |
93 |
$5K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
247 |
125 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 52000 |
|
28 |
28 |
$1K |
| 81003 |
|
607 |
601 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$418.32 |
| 81002 |
|
175 |
167 |
$338.31 |
| 90785 |
|
14 |
12 |
$128.23 |