| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,047 |
1,726 |
$106K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,906 |
2,760 |
$62K |
| 90791 |
Psychiatric diagnostic evaluation |
44 |
43 |
$6K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
27 |
13 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
13 |
$2K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
39 |
13 |
$639.60 |