| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
305 |
$31K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
487 |
370 |
$21K |
| 99205 |
Prolong outpt/office vis |
126 |
91 |
$15K |
| 99417 |
Prolong home eval add 15m |
63 |
41 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
52 |
$4K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27 |
16 |
$83.60 |