| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
56 |
41 |
$431.63 |
| 90838 |
|
58 |
40 |
$294.20 |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
23 |
$141.22 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
25 |
15 |
$97.70 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
16 |
$54.86 |
| 99310 |
Prolong nursin fac eval 15m |
18 |
14 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
21 |
14 |
$0.00 |